How much rates vary
Facilitymedian $95 · 10th to 90th $95 to $95Professionalmedian $151 · 10th to 90th $95 to $182
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $95.50 | $95.50 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $41.69 | $41.69 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $53.70 | $89.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $181.97 | Professional | 26 · Professional part | $38.90 | $57.54 | $181.97 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $371.54 | Professional | TC · Technical part | $43.65 | $64.57 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $100.00 | Facility | None | $95.50 | $95.50 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $70.79 | $151.36 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $66.07 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $66.07 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $85.11 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $85.11 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $125.89 | $173.78 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $70.79 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $69.18 | $107.15 | $208.93 |
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 $35.48 Median $75.86 Typical High $120.23 | Professional | 51 · Multiple procedures | $35.48 | $75.86 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $30.20 Typical High $48.98 | Professional | 80 · Assistant surgeon | $14.13 | $30.20 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $21.38 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $10.00 | $21.38 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $21.38 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $21.38 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $21.38 Typical High $33.88 | Professional | AS · PA/NP assist | $10.00 | $21.38 | $33.88 |
Where North Carolina sits
The same service costs 3.2 times more in Nebraska than in Mississippi. 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· 28th of 51
$151
NE $331MS $105
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.