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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
BCBS North Carolina Setting Professional Modifier None Typical Low $11.75 Median $104.71 Typical High $229.09 | Professional | None | $11.75 | $104.71 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $263.03 | Professional | None | $10.23 | $10.23 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $107.15 | Facility | None | $100.00 | $100.00 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $97.72 | Professional | None | $69.18 | $69.18 | $97.72 |
United Setting Professional Modifier None Typical Low $24.55 Median $109.65 Typical High $218.78 | Professional | None | $24.55 | $109.65 | $218.78 |
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 $34.67 Median $34.67 Typical High $48.98 | Professional | 51 · Multiple procedures | $34.67 | $34.67 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.80 Median $13.80 Typical High $19.95 | Professional | 80 · Assistant surgeon | $13.80 | $13.80 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $9.77 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $9.77 | $9.77 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $9.77 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $9.77 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $9.77 Typical High $13.80 | Professional | AS · PA/NP assist | $9.77 | $9.77 | $13.80 |
Where North Carolina sits
The same service costs 30.2 times more in Iowa than in Arizona. 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
$100
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.