How much rates vary
Facilitymedian $1,000 · 10th to 90th $1,000 to $1,000Professionalmedian $1,096 · 10th to 90th $832 to $2,344
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 Professional Modifier 26 · Professional part Typical Low $204.17 Median $208.93 Typical High $213.80 | Professional | 26 · Professional part | $204.17 | $208.93 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | TC · Technical part | $794.33 | $794.33 | $812.83 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $338.84 Typical High $645.65 | Professional | 26 · Professional part | $204.17 | $338.84 | $645.65 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $213.80 Typical High $2,089.30 | Professional | TC · Technical part | $100.00 | $213.80 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $263.03 Typical High $562.34 | Professional | 26 · Professional part | $204.17 | $263.03 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $2,137.96 | Professional | TC · Technical part | $831.76 | $1,023.29 | $2,137.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $257.04 | $323.59 | $323.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $213.80 Typical High $281.84 | Professional | 26 · Professional part | $199.53 | $213.80 | $281.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $831.76 Typical High $1,023.29 | Professional | TC · Technical part | $741.31 | $831.76 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $234.42 Typical High $489.78 | Professional | 26 · Professional part | $186.21 | $234.42 | $489.78 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,548.82 Typical High $2,951.21 | Professional | TC · Technical part | $288.40 | $1,548.82 | $2,951.21 |
17 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 Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 52 · Reduced service | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | 53 · Discontinued | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $102.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,288.25 Typical High $2,754.23 | Professional | None (both parts) | $1,047.13 | $1,288.25 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $1,000.00 | Facility | None | $363.08 | $363.08 | $1,000.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,047.13 Typical High $1,288.25 | Professional | None (both parts) | $776.25 | $1,047.13 | $1,288.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $524.81 Typical High $851.14 | Professional | 51 · Multiple procedures | $389.05 | $524.81 | $851.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $208.93 Typical High $338.84 | Professional | 80 · Assistant surgeon | $154.88 | $208.93 | $338.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $109.65 Median $144.54 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $109.65 | $144.54 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $109.65 Median $144.54 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $109.65 | $144.54 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $144.54 Typical High $234.42 | Professional | AS · PA/NP assist | $109.65 | $144.54 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $467.74 Typical High $1,995.26 | Professional | None (both parts) | $218.78 | $467.74 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,737.80 Typical High $3,311.31 | Professional | None (both parts) | $602.56 | $1,737.80 | $3,311.31 |
Where North Carolina sits
The same service costs 11.2 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· 33rd of 51
$1,096
AK $3,020KY $269
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.