How much rates vary
Facilitymedian $229 · 10th to 90th $229 to $229Professionalmedian $229 · 10th to 90th $182 to $468
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | None (both parts) | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $81.28 | Professional | 26 · Professional part | $75.86 | $77.62 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $154.88 | Professional | TC · Technical part | $147.91 | $151.36 | $154.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $75.86 | $125.89 | $234.42 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $117.49 | $213.80 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $181.97 | $239.88 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $77.62 | $100.00 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $380.19 | Professional | TC · Technical part | $91.20 | $144.54 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $251.19 | Professional | None | $186.21 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $288.40 | Facility | None | $229.09 | $229.09 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $181.97 | $208.93 | $269.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $77.62 | $104.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $120.23 | $128.82 | $186.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $89.13 | $257.04 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $588.84 | Professional | None (both parts) | $181.97 | $239.88 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $194.98 | Professional | 26 · Professional part | $70.79 | $87.10 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $398.11 | Professional | TC · Technical part | $107.15 | $158.49 | $398.11 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $104.71 Typical High $190.55 | Professional | 51 · Multiple procedures | $91.20 | $104.71 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $41.69 Typical High $75.86 | Professional | 80 · Assistant surgeon | $36.31 | $41.69 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $28.84 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $25.12 | $28.84 | $53.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $28.84 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $28.84 | $53.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $28.84 Typical High $53.70 | Professional | AS · PA/NP assist | $25.12 | $28.84 | $53.70 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 41st of 51
$229
AK $603TX $155
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.