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 $29.51 Median $131.83 Typical High $5,495.41 | Facility | None | $29.51 | $131.83 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $131.83 Typical High $208.93 | Professional | None | $29.51 | $131.83 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | None | $38.90 | $38.90 | $75.86 |
BCBS North Carolina Setting Professional Modifier None Typical Low $60.26 Median $177.83 Typical High $446.68 | Professional | None | $60.26 | $177.83 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $107.15 Typical High $295.12 | Professional | None | $35.48 | $107.15 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $144.54 | Facility | None | $29.51 | $29.51 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $309.03 | Professional | None | $169.82 | $223.87 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $512.86 Median $891.25 Typical High $2,089.30 | Facility | None | $512.86 | $891.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $30.90 Median $117.49 Typical High $309.03 | Professional | None | $30.90 | $117.49 | $309.03 |
6 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 54 · Surgery only Typical Low $22.39 Median $91.20 Typical High $114.82 | Professional | 54 · Surgery only | $22.39 | $91.20 | $114.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $125.89 Typical High $208.93 | Professional | 51 · Multiple procedures | $104.71 | $125.89 | $208.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $50.12 Typical High $83.18 | Professional | 80 · Assistant surgeon | $42.66 | $50.12 | $83.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $35.48 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $29.51 | $35.48 | $57.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $29.51 Median $35.48 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $29.51 | $35.48 | $57.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $35.48 Typical High $57.54 | Professional | AS · PA/NP assist | $29.51 | $35.48 | $57.54 |
Where North Carolina sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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
$178
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.