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 $2.00 Median $2.00 Typical High $2.00 | Facility | None | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.63 | Professional | None | $2.00 | $2.00 | $2.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.63 Median $5.25 Typical High $7.08 | Professional | None | $3.63 | $5.25 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $354.81 Typical High $549.54 | Facility | None | $131.83 | $354.81 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.95 Typical High $6.61 | Professional | None | $2.29 | $2.95 | $6.61 |
Medcost Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $3.24 | Facility | None | $2.00 | $2.00 | $3.24 |
Medcost Setting Professional Modifier None Typical Low $2.45 Median $3.72 Typical High $5.01 | Professional | None | $2.45 | $3.72 | $5.01 |
Oscar Health Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $6.61 | Professional | None | $2.82 | $3.72 | $6.61 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $6.17 | Professional | None | $2.19 | $3.02 | $6.17 |
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 $1.78 Median $1.82 Typical High $3.39 | Professional | 51 · Multiple procedures | $1.78 | $1.82 | $3.39 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.71 Median $0.74 Typical High $1.35 | Professional | 80 · Assistant surgeon | $0.71 | $0.74 | $1.35 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.50 Median $0.52 Typical High $0.93 | Professional | 81 · Minimal assistant surgeon | $0.50 | $0.52 | $0.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.50 Median $0.52 Typical High $0.93 | Professional | 82 · Assistant surgeon, no resident | $0.50 | $0.52 | $0.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.50 Median $0.52 Typical High $0.93 | Professional | AS · PA/NP assist | $0.50 | $0.52 | $0.93 |
Where North Carolina sits
The same service costs 3.5 times more in Wyoming than in Indiana. 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· 9th of 51
$5.01
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.