How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $26.92 Median $45.71 Typical High $117.49 | Facility | None | $26.92 | $45.71 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $61.66 Typical High $109.65 | Professional | None | $26.92 | $61.66 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $131.83 | Professional | None | $75.86 | $75.86 | $131.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $47.86 Median $74.13 Typical High $100.00 | Facility | None | $47.86 | $74.13 | $100.00 |
BCBS North Carolina Setting Professional Modifier None Typical Low $36.31 Median $117.49 Typical High $213.80 | Professional | None | $36.31 | $117.49 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $204.17 | Facility | None | $61.66 | $107.15 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $85.11 Typical High $151.36 | Professional | None | $38.90 | $85.11 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | None | $138.04 | $138.04 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $138.04 | Facility | None | $57.54 | $91.20 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $141.25 | Professional | None | $87.10 | $112.20 | $141.25 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $23.99 Median $66.07 Typical High $144.54 | Professional | None | $23.99 | $66.07 | $144.54 |
8 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 Facility Modifier 50 · Both sides Typical Low $87.10 Median $134.90 Typical High $269.15 | Facility | 50 · Both sides | $87.10 | $134.90 | $269.15 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $28.84 Median $45.71 Typical High $89.13 | Facility | 51 · Multiple procedures | $28.84 | $45.71 | $89.13 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $169.82 Typical High $309.03 | Professional | 50 · Both sides | $125.89 | $169.82 | $309.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $56.23 Typical High $102.33 | Professional | 51 · Multiple procedures | $41.69 | $56.23 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $22.39 Typical High $40.74 | Professional | 80 · Assistant surgeon | $16.60 | $22.39 | $40.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $15.85 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $11.75 | $15.85 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $15.85 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $15.85 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $15.85 Typical High $28.84 | Professional | AS · PA/NP assist | $11.75 | $15.85 | $28.84 |
Where North Carolina sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 8th of 51
$102
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.