How much rates vary
Facilitymedian $871 · 10th to 90th $871 to $871Professionalmedian $891 · 10th to 90th $676 to $1,698
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 $177.83 Median $181.97 Typical High $186.21 | Professional | 26 · Professional part | $177.83 | $181.97 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | TC · Technical part | $691.83 | $691.83 | $707.95 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $295.12 Typical High $549.54 | Professional | 26 · Professional part | $177.83 | $295.12 | $549.54 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $107.15 Typical High $1,819.70 | Professional | TC · Technical part | $50.12 | $107.15 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $489.78 | Professional | 26 · Professional part | $169.82 | $213.80 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $831.76 Typical High $1,862.09 | Professional | TC · Technical part | $691.83 | $831.76 | $1,862.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $213.80 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $186.21 Typical High $245.47 | Professional | 26 · Professional part | $173.78 | $186.21 | $245.47 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $707.95 Typical High $851.14 | Professional | TC · Technical part | $660.69 | $707.95 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $199.53 Typical High $426.58 | Professional | 26 · Professional part | $158.49 | $199.53 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $758.58 Typical High $1,905.46 | Professional | TC · Technical part | $331.13 | $758.58 | $1,905.46 |
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $870.96 Typical High $912.01 | Professional | None (both parts) | $851.14 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $436.52 Typical High $446.68 | Professional | 52 · Reduced service | $426.58 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $134.90 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $87.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $85.11 | $87.10 | $89.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,096.48 Typical High $2,344.23 | Professional | None (both parts) | $851.14 | $1,096.48 | $2,344.23 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $870.96 | Facility | None | $275.42 | $275.42 | $870.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $676.08 Median $891.25 Typical High $1,071.52 | Professional | None (both parts) | $676.08 | $891.25 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $446.68 Typical High $741.31 | Professional | 51 · Multiple procedures | $338.84 | $446.68 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $177.83 Typical High $295.12 | Professional | 80 · Assistant surgeon | $138.04 | $177.83 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $125.89 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $95.50 | $125.89 | $208.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $125.89 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $125.89 | $208.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $125.89 Typical High $208.93 | Professional | AS · PA/NP assist | $95.50 | $125.89 | $208.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $1,202.26 | Professional | None (both parts) | $190.55 | $407.38 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $954.99 Typical High $2,398.83 | Professional | None (both parts) | $512.86 | $954.99 | $2,398.83 |
Where North Carolina sits
The same service costs 9.1 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· 30th of 51
$891
AK $2,188KY $240
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.