How much rates vary
Facilitymedian $145 · 10th to 90th $145 to $145Professionalmedian $145 · 10th to 90th $69 to $302
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $141.25 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | 26 · Professional part | $26.30 | $26.30 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $117.49 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $26.30 | $41.69 | $91.20 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $39.81 | $173.78 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $131.83 Typical High $380.19 | Professional | None (both parts) | $69.18 | $131.83 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $36.31 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $100.00 Typical High $302.00 | Professional | TC · Technical part | $36.31 | $100.00 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $190.55 | Facility | None | $144.54 | $144.54 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $79.43 | $125.89 | $151.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $28.84 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $97.72 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $30.20 | $169.82 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $389.05 | Professional | None (both parts) | $93.33 | $147.91 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $30.90 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $323.59 | Professional | TC · Technical part | $66.07 | $117.49 | $323.59 |
7 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $69.18 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $28.84 | $31.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $63.10 Typical High $109.65 | Professional | 51 · Multiple procedures | $39.81 | $63.10 | $109.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $25.12 Typical High $43.65 | Professional | 80 · Assistant surgeon | $15.85 | $25.12 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $17.78 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $11.22 | $17.78 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $17.78 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $17.78 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.22 Median $17.78 Typical High $30.90 | Professional | AS · PA/NP assist | $11.22 | $17.78 | $30.90 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 44th of 51
$145
AK $324KY $115
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.