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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
BCBS North Carolina Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $75.86 | Professional | None | $26.92 | $42.66 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $69.18 | Professional | None | $20.42 | $25.12 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $32.36 | Facility | None | $30.20 | $30.20 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $29.51 | Professional | None | $20.89 | $20.89 | $29.51 |
United Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $81.28 | Professional | None | $26.92 | $34.67 | $81.28 |
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 $10.47 Typical High $14.79 | Professional | 51 · Multiple procedures | $10.47 | $10.47 | $14.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.17 Median $4.17 Typical High $5.89 | Professional | 80 · Assistant surgeon | $4.17 | $4.17 | $5.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.88 Median $2.88 Typical High $4.17 | Professional | 81 · Minimal assistant surgeon | $2.88 | $2.88 | $4.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.88 Median $2.88 Typical High $4.17 | Professional | 82 · Assistant surgeon, no resident | $2.88 | $2.88 | $4.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.88 Median $2.88 Typical High $4.17 | Professional | AS · PA/NP assist | $2.88 | $2.88 | $4.17 |
Where North Carolina sits
The same service costs 5.8 times more in Nebraska than in Vermont. 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
$36.31
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.