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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
BCBS Setting Professional Modifier None Typical Low $19.50 Median $112.20 Typical High $218.78 | Professional | None | $19.50 | $112.20 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $38.02 Typical High $60.26 | Facility | None | $19.50 | $38.02 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $30.20 | Professional | None | $20.89 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $36.31 Median $72.44 Typical High $144.54 | Professional | None | $36.31 | $72.44 | $144.54 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.47 Median $15.14 Typical High $15.14 | Professional | 51 · Multiple procedures | $10.47 | $15.14 | $15.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.17 Median $6.03 Typical High $6.03 | Professional | 80 · Assistant surgeon | $4.17 | $6.03 | $6.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.95 Median $4.17 Typical High $4.17 | Professional | 81 · Minimal assistant surgeon | $2.95 | $4.17 | $4.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.95 Median $4.17 Typical High $4.17 | Professional | 82 · Assistant surgeon, no resident | $2.95 | $4.17 | $4.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.95 Median $4.17 Typical High $4.17 | Professional | AS · PA/NP assist | $2.95 | $4.17 | $4.17 |
Where North Carolina sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 14th of 51
$87.10
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.