How much rates vary
Facilitymedian $93 · 10th to 90th $93 to $155Professionalmedian $162 · 10th to 90th $93 to $224
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 $39.81 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $39.81 | $39.81 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $52.48 | $117.49 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $75.86 Typical High $173.78 | Professional | 26 · Professional part | $36.31 | $75.86 | $173.78 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $95.50 Typical High $346.74 | Professional | TC · Technical part | $45.71 | $95.50 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $77.62 | $77.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $45.71 | $102.33 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $75.86 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $109.65 | $177.83 |
13 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 $93.33 Median $93.33 Typical High $154.88 | Facility | None | $93.33 | $93.33 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $93.33 | $93.33 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $91.20 | $97.72 | $154.88 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $117.49 | $117.49 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $97.72 | Facility | None | $93.33 | $93.33 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $66.07 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $89.13 Typical High $117.49 | Professional | 51 · Multiple procedures | $33.11 | $89.13 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $36.31 Typical High $46.77 | Professional | 80 · Assistant surgeon | $13.18 | $36.31 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $25.12 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $9.33 | $25.12 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $25.12 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $25.12 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $25.12 Typical High $32.36 | Professional | AS · PA/NP assist | $9.33 | $25.12 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $128.82 | $177.83 | $288.40 |
Where North Carolina sits
The same service costs 3.5 times more in Nebraska than in New Mexico. 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· 32nd of 51
$162
NE $331NM $93.33
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.