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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $54.95 | Professional | None | $34.67 | $34.67 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | None | $26.92 | $26.92 | $37.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $114.82 | Professional | None | $57.54 | $81.28 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $107.15 | Professional | None | $41.69 | $51.29 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $44.67 | Facility | None | $34.67 | $34.67 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $89.13 | Professional | None | $37.15 | $52.48 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $81.28 | Professional | None | $37.15 | $44.67 | $81.28 |
United Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $95.50 | Professional | None | $38.90 | $50.12 | $95.50 |
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 $26.30 Median $26.30 Typical High $53.70 | Professional | 51 · Multiple procedures | $26.30 | $26.30 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.47 Median $10.47 Typical High $21.38 | Professional | 80 · Assistant surgeon | $10.47 | $10.47 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.41 Median $7.41 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $7.41 | $7.41 | $14.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.41 Median $7.41 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $7.41 | $7.41 | $14.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.41 Median $7.41 Typical High $14.79 | Professional | AS · PA/NP assist | $7.41 | $7.41 | $14.79 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 10th of 51
$74.13
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.