How much rates vary
Facilitymedian $105 · 10th to 90th $105 to $120Professionalmedian $98 · 10th to 90th $52 to $182
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 $104.71 Median $104.71 Typical High $107.15 | Facility | None | $104.71 | $104.71 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $79.43 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $33.11 | $33.88 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $69.18 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $69.18 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $125.89 | $125.89 | $181.97 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | None (both parts) | $104.71 | $104.71 | $107.15 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $51.29 | $104.71 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $21.38 | $74.13 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $83.18 Typical High $251.19 | Professional | None (both parts) | $52.48 | $83.18 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $93.33 | Professional | 26 · Professional part | $33.88 | $43.65 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $34.67 Typical High $147.91 | Professional | TC · Technical part | $13.49 | $34.67 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $74.13 | Professional | None | $58.88 | $74.13 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $120.23 | Facility | None | $104.71 | $104.71 | $120.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $58.88 | $60.26 | $109.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $34.67 | $45.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $67.61 | Professional | TC · Technical part | $19.95 | $25.12 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $38.02 | $107.15 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $234.42 | Professional | None (both parts) | $54.95 | $91.20 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $38.02 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $57.54 Typical High $151.36 | Professional | TC · Technical part | $21.88 | $57.54 | $151.36 |
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 $48.98 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $20.89 | $20.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $30.20 Typical High $70.79 | Professional | 51 · Multiple procedures | $29.51 | $30.20 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $12.02 Typical High $28.18 | Professional | 80 · Assistant surgeon | $11.75 | $12.02 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $8.32 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $8.32 | $8.32 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $8.32 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $8.32 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $8.32 Typical High $19.50 | Professional | AS · PA/NP assist | $8.32 | $8.32 | $19.50 |
Where North Carolina sits
The same service costs 3.5 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· 36th of 51
$97.72
AK $229KY $64.57
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.