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 $25.12 Median $25.12 Typical High $36.31 | Facility | None | $25.12 | $25.12 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $38.90 | Professional | None | $25.12 | $25.12 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | None | $36.31 | $36.31 | $40.74 |
BCBS North Carolina Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $66.07 | Professional | None | $30.90 | $41.69 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $56.23 Typical High $575.44 | Facility | None | $50.12 | $56.23 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $67.61 | Professional | None | $22.91 | $33.11 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $40.74 | Facility | None | $25.12 | $30.20 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $43.65 | Professional | None | $24.55 | $32.36 | $43.65 |
Oscar Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
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 $22.39 Median $31.62 Typical High $70.79 | Professional | None | $22.39 | $31.62 | $70.79 |
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 $12.30 Median $16.22 Typical High $33.88 | Professional | 51 · Multiple procedures | $12.30 | $16.22 | $33.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.90 Median $6.46 Typical High $13.49 | Professional | 80 · Assistant surgeon | $4.90 | $6.46 | $13.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.47 Median $4.57 Typical High $9.33 | Professional | 81 · Minimal assistant surgeon | $3.47 | $4.57 | $9.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.47 Median $4.57 Typical High $9.33 | Professional | 82 · Assistant surgeon, no resident | $3.47 | $4.57 | $9.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.47 Median $4.57 Typical High $9.33 | Professional | AS · PA/NP assist | $3.47 | $4.57 | $9.33 |
Where North Carolina sits
The same service costs 7.8 times more in Tennessee than in Kentucky. 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· 42nd of 51
$36.31
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.