How much rates vary
Facilitymedian $234 · 10th to 90th $234 to $234Professionalmedian $234 · 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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | 26 · Professional part | $77.62 | $77.62 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $165.96 | Professional | TC · Technical part | $154.88 | $158.49 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $75.86 | $112.20 | $269.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $208.93 Typical High $446.68 | Professional | TC · Technical part | $128.82 | $208.93 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $630.96 | Professional | None (both parts) | $190.55 | $239.88 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $208.93 | Professional | 26 · Professional part | $77.62 | $100.00 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $398.11 | Professional | TC · Technical part | $100.00 | $151.36 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $269.15 | Professional | None | $194.98 | $269.15 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $181.97 | $218.78 | $275.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $79.43 | $104.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $141.25 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $251.19 Typical High $501.19 | Professional | None (both parts) | $87.10 | $251.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $186.21 | $245.47 | $602.56 |
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 $114.82 Median $162.18 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $162.18 | $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 $109.65 Typical High $194.98 | Professional | 51 · Multiple procedures | $91.20 | $109.65 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $43.65 Typical High $77.62 | Professional | 80 · Assistant surgeon | $36.31 | $43.65 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $30.90 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $25.70 | $30.90 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $30.90 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $30.90 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $30.90 Typical High $54.95 | Professional | AS · PA/NP assist | $25.70 | $30.90 | $54.95 |
Where North Carolina sits
The same service costs 3.7 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· 39th of 51
$234
AK $575TX $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.