How much rates vary
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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $12.30 | $14.79 | $14.79 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $39.81 | Professional | None (both parts) | $23.99 | $33.88 | $39.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $11.22 Typical High $14.13 | Professional | 26 · Professional part | $5.75 | $11.22 | $14.13 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $18.62 Typical High $23.44 | Professional | TC · Technical part | $9.55 | $18.62 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $15.49 | Facility | None | $14.79 | $14.79 | $15.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $14.79 Median $15.49 Typical High $33.88 | Professional | None (both parts) | $14.79 | $15.49 | $33.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.13 Typical High $11.22 | Professional | 26 · Professional part | $5.13 | $5.13 | $11.22 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $8.51 Typical High $18.62 | Professional | TC · Technical part | $8.51 | $8.51 | $18.62 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.41 Median $7.76 Typical High $21.88 | Professional | 51 · Multiple procedures | $7.41 | $7.76 | $21.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.95 Median $3.09 Typical High $8.71 | Professional | 80 · Assistant surgeon | $2.95 | $3.09 | $8.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.09 Median $2.14 Typical High $6.17 | Professional | 81 · Minimal assistant surgeon | $2.09 | $2.14 | $6.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.09 Median $2.14 Typical High $6.17 | Professional | 82 · Assistant surgeon, no resident | $2.09 | $2.14 | $6.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.09 Median $2.14 Typical High $6.17 | Professional | AS · PA/NP assist | $2.09 | $2.14 | $6.17 |
Where North Carolina sits
The same service costs 30.2 times more in Arizona than in New Jersey. 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· 11th of 51
$32.36
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.