How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $83Professionalmedian $83 · 10th to 90th $65 to $158
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | None (both parts) | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $30.90 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $52.48 | Professional | TC · Technical part | $50.12 | $51.29 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $48.98 | $93.33 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $35.48 | $64.57 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $223.87 | Professional | None (both parts) | $66.07 | $85.11 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $38.90 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $128.82 | Professional | TC · Technical part | $31.62 | $46.77 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | None | $72.44 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $95.50 | Facility | None | $83.18 | $83.18 | $95.50 |
Medcost Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $112.20 | Professional | None (both parts) | $63.10 | $67.61 | $112.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $30.90 | $44.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $61.66 | Professional | TC · Technical part | $37.15 | $38.90 | $61.66 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $35.48 | $87.10 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $204.17 | Professional | None (both parts) | $63.10 | $83.18 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $33.88 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $123.03 | Professional | TC · Technical part | $34.67 | $50.12 | $123.03 |
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 $40.74 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $31.62 Median $33.88 Typical High $67.61 | Professional | 51 · Multiple procedures | $31.62 | $33.88 | $67.61 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $13.49 Typical High $26.92 | Professional | 80 · Assistant surgeon | $12.59 | $13.49 | $26.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $9.55 Typical High $19.05 | Professional | 81 · Minimal assistant surgeon | $8.91 | $9.55 | $19.05 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $9.55 Typical High $19.05 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $9.55 | $19.05 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $9.55 Typical High $19.05 | Professional | AS · PA/NP assist | $8.91 | $9.55 | $19.05 |
Where North Carolina sits
The same service costs 3.0 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· 40th of 51
$83.18
AK $204TX $69.18
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.