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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | None | $19.05 | $19.05 | $23.99 |
BCBS North Carolina Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $100.00 | Professional | None | $31.62 | $48.98 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $19.05 Typical High $19.95 | Facility | None | $16.98 | $19.05 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $45.71 | Professional | None | $18.62 | $18.62 | $45.71 |
Oscar Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,230.27 | $1,412.54 | $1,659.59 |
United Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $45.71 | Professional | None | $20.89 | $27.54 | $45.71 |
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 $9.33 Median $9.33 Typical High $27.54 | Professional | 51 · Multiple procedures | $9.33 | $9.33 | $27.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.72 Median $3.72 Typical High $11.22 | Professional | 80 · Assistant surgeon | $3.72 | $3.72 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.57 Median $2.57 Typical High $7.76 | Professional | 81 · Minimal assistant surgeon | $2.57 | $2.57 | $7.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.57 Median $2.57 Typical High $7.76 | Professional | 82 · Assistant surgeon, no resident | $2.57 | $2.57 | $7.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.57 Median $2.57 Typical High $7.76 | Professional | AS · PA/NP assist | $2.57 | $2.57 | $7.76 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Pennsylvania. 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· 5th of 51
$44.67
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.