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 $213.80 Median $213.80 Typical High $7,943.28 | Facility | None | $213.80 | $213.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
BCBS North Carolina Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $588.84 | Professional | None | $288.40 | $457.09 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $223.87 Typical High $338.84 | Facility | None | $213.80 | $223.87 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $380.19 | Professional | None | $154.88 | $218.78 | $380.19 |
United Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $616.60 | Professional | None | $186.21 | $269.15 | $616.60 |
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 $77.62 Median $109.65 Typical High $288.40 | Professional | 51 · Multiple procedures | $77.62 | $109.65 | $288.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $43.65 Typical High $114.82 | Professional | 80 · Assistant surgeon | $30.90 | $43.65 | $114.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $30.90 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $21.38 | $30.90 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $30.90 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $30.90 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $30.90 Typical High $81.28 | Professional | AS · PA/NP assist | $21.38 | $30.90 | $81.28 |
Where North Carolina sits
The same service costs 14.1 times more in Texas than in North Dakota. 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· 17th of 51
$363
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.