How much rates vary
Facilitymedian $110 · 10th to 90th $110 to $110Professionalmedian $117 · 10th to 90th $85 to $324
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $102.33 | $134.90 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $416.87 | Professional | None (both parts) | $85.11 | $117.49 | $416.87 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $107.15 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $102.33 | $162.18 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $102.33 | $117.49 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $85.11 | $109.65 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $109.65 | $125.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $89.13 | $162.18 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $251.19 | Professional | None (both parts) | $95.50 | $120.23 | $251.19 |
8 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 $52.48 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.38 | $21.88 | $21.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $43.65 | $61.66 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $53.70 Typical High $95.50 | Professional | 51 · Multiple procedures | $42.66 | $53.70 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $21.88 Typical High $38.02 | Professional | 80 · Assistant surgeon | $16.98 | $21.88 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $15.14 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $12.02 | $15.14 | $26.92 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $15.14 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $15.14 | $26.92 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $15.14 Typical High $26.92 | Professional | AS · PA/NP assist | $12.02 | $15.14 | $26.92 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$117
AK $282FL $89.13
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.