How much rates vary
Facilitymedian $347 · 10th to 90th $347 to $525Professionalmedian $347 · 10th to 90th $309 to $759
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 $346.74 Median $346.74 Typical High $524.81 | Facility | None | $346.74 | $346.74 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $389.05 | Professional | None (both parts) | $338.84 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $43.65 | $44.67 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $302.00 Typical High $338.84 | Professional | TC · Technical part | $295.12 | $302.00 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $44.67 | $58.88 | $79.43 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $43.65 | $74.13 | $138.04 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $426.58 Typical High $776.25 | Professional | TC · Technical part | $275.42 | $426.58 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $407.38 Typical High $933.25 | Professional | None (both parts) | $331.13 | $407.38 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $54.95 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $281.84 | $346.74 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $446.68 | Facility | None | $346.74 | $346.74 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $275.42 | $331.13 | $407.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $50.12 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $281.84 | $281.84 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $398.11 Typical High $794.33 | Professional | None (both parts) | $50.12 | $398.11 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $295.12 | $371.54 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $53.70 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $251.19 | $316.23 | $724.44 |
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 $173.78 Median $173.78 Typical High $181.97 | Professional | 52 · Reduced service | $173.78 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 53 · Discontinued | $69.18 | $69.18 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $165.96 Typical High $302.00 | Professional | 51 · Multiple procedures | $138.04 | $165.96 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $66.07 Typical High $120.23 | Professional | 80 · Assistant surgeon | $54.95 | $66.07 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $46.77 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $38.90 | $46.77 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $46.77 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $46.77 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $46.77 Typical High $83.18 | Professional | AS · PA/NP assist | $38.90 | $46.77 | $83.18 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$347
AK $813NM $275
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.