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 Typical Low $11.22 Median $23.44 Typical High $23.44 | Professional | None | $11.22 | $23.44 | $23.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $9.33 Median $14.79 Typical High $31.62 | Professional | None | $9.33 | $14.79 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $97.72 Typical High $151.36 | Facility | None | $30.20 | $97.72 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $23.44 Typical High $25.12 | Facility | None | $21.38 | $23.44 | $25.12 |
Medcost Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $20.89 | Professional | None | $9.12 | $9.12 | $20.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $25.12 | Professional | None | $8.71 | $11.75 | $25.12 |
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 $4.57 Median $4.57 Typical High $13.18 | Professional | 51 · Multiple procedures | $4.57 | $4.57 | $13.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.82 Median $1.82 Typical High $5.25 | Professional | 80 · Assistant surgeon | $1.82 | $1.82 | $5.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.29 Median $1.29 Typical High $3.72 | Professional | 81 · Minimal assistant surgeon | $1.29 | $1.29 | $3.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.29 Median $1.29 Typical High $3.72 | Professional | 82 · Assistant surgeon, no resident | $1.29 | $1.29 | $3.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.29 Median $1.29 Typical High $3.72 | Professional | AS · PA/NP assist | $1.29 | $1.29 | $3.72 |
Where North Carolina sits
The same service costs 7.8 times more in Indiana 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· 33rd of 51
$14.79
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.