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 $165.96 Median $165.96 Typical High $257.04 | Facility | None | $165.96 | $165.96 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $331.13 | Professional | None | $151.36 | $165.96 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $281.84 Typical High $489.78 | Professional | None | $128.82 | $281.84 | $489.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $524.81 | Professional | None | $245.47 | $323.59 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $446.68 | Professional | None | $165.96 | $239.88 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $190.55 | Facility | None | $165.96 | $165.96 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $446.68 | Professional | None | $194.98 | $295.12 | $446.68 |
United Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $489.78 | Professional | None | $162.18 | $239.88 | $489.78 |
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 $81.28 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $81.28 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $32.36 | $33.11 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $117.49 | $131.83 | $131.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $154.88 Typical High $251.19 | Professional | 51 · Multiple procedures | $114.82 | $154.88 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $61.66 Typical High $100.00 | Professional | 80 · Assistant surgeon | $45.71 | $61.66 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $43.65 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $32.36 | $43.65 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $43.65 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $43.65 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $43.65 Typical High $70.79 | Professional | AS · PA/NP assist | $32.36 | $43.65 | $70.79 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$302
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.