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 $21.38 Median $23.44 Typical High $23.44 | Facility | None | $21.38 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $20.42 | $23.44 | $23.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $34.67 | $47.86 | $56.23 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $9.33 | $18.20 | $22.91 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $31.62 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $25.12 | Facility | None | $23.44 | $23.44 | $25.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $20.89 Median $21.88 Typical High $51.29 | Professional | None (both parts) | $20.89 | $21.88 | $51.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $8.32 | $18.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $30.90 | Professional | TC · Technical part | $14.45 | $14.45 | $30.90 |
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 $10.47 Median $10.96 Typical High $33.11 | Professional | 51 · Multiple procedures | $10.47 | $10.96 | $33.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.27 Median $4.37 Typical High $13.18 | Professional | 80 · Assistant surgeon | $4.27 | $4.37 | $13.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.95 Median $3.02 Typical High $9.33 | Professional | 81 · Minimal assistant surgeon | $2.95 | $3.02 | $9.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.95 Median $3.02 Typical High $9.33 | Professional | 82 · Assistant surgeon, no resident | $2.95 | $3.02 | $9.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.95 Median $3.02 Typical High $9.33 | Professional | AS · PA/NP assist | $2.95 | $3.02 | $9.33 |
Where North Carolina sits
The same service costs 20.9 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
$47.86
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.