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 $28.18 Median $28.18 Typical High $33.88 | Facility | None | $28.18 | $28.18 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | None | $28.18 | $28.18 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
BCBS North Carolina Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $79.43 | Professional | None | $32.36 | $50.12 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $56.23 Typical High $676.08 | Facility | None | $50.12 | $56.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $75.86 | Professional | None | $28.18 | $38.02 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $44.67 | Facility | None | $28.18 | $33.88 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $47.86 | Professional | None | $26.92 | $40.74 | $47.86 |
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 $25.70 Median $38.02 Typical High $77.62 | Professional | None | $25.70 | $38.02 | $77.62 |
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 $13.49 Median $20.42 Typical High $38.02 | Professional | 51 · Multiple procedures | $13.49 | $20.42 | $38.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.37 Median $8.13 Typical High $15.14 | Professional | 80 · Assistant surgeon | $5.37 | $8.13 | $15.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.72 Median $5.62 Typical High $10.47 | Professional | 81 · Minimal assistant surgeon | $3.72 | $5.62 | $10.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.72 Median $5.62 Typical High $10.47 | Professional | 82 · Assistant surgeon, no resident | $3.72 | $5.62 | $10.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.72 Median $5.62 Typical High $10.47 | Professional | AS · PA/NP assist | $3.72 | $5.62 | $10.47 |
Where North Carolina sits
The same service costs 7.1 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· 39th of 51
$41.69
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.