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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $58.88 | Professional | None | $50.12 | $52.48 | $58.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $199.53 Typical High $371.54 | Facility | None | $67.61 | $199.53 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $186.21 Typical High $302.00 | Professional | None | $66.07 | $186.21 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $56.23 | Facility | None | $52.48 | $52.48 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $223.87 Typical High $281.84 | Professional | None | $72.44 | $223.87 | $281.84 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $234.42 | Professional | None | $58.88 | $107.15 | $234.42 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $25.12 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $11.75 | Professional | 53 · Discontinued | $10.00 | $10.47 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | FX · Film X-ray | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $112.20 Typical High $141.25 | Professional | 51 · Multiple procedures | $57.54 | $112.20 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $44.67 Typical High $56.23 | Professional | 80 · Assistant surgeon | $22.91 | $44.67 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $31.62 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $16.22 | $31.62 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $31.62 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $31.62 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $31.62 Typical High $39.81 | Professional | AS · PA/NP assist | $16.22 | $31.62 | $39.81 |
Where North Carolina sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 11th of 51
$141
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.