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 $213.80 Median $234.42 Typical High $331.13 | Facility | None | $213.80 | $234.42 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $131.83 Typical High $234.42 | Professional | None | $70.79 | $131.83 | $234.42 |
BCBS North Carolina Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $575.44 | Professional | None | $186.21 | $251.19 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $602.56 | Facility | None | $346.74 | $537.03 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $83.18 Median $83.18 Typical High $89.13 | Facility | None | $83.18 | $83.18 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $467.74 | Professional | None | $89.13 | $138.04 | $467.74 |
United Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $251.19 | Professional | None | $89.13 | $162.18 | $251.19 |
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 FX · Film X-ray Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $63.10 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $102.33 Typical High $234.42 | Professional | 51 · Multiple procedures | $63.10 | $102.33 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $40.74 Typical High $93.33 | Professional | 80 · Assistant surgeon | $25.12 | $40.74 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $28.18 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $17.78 | $28.18 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $28.18 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $28.18 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $28.18 Typical High $66.07 | Professional | AS · PA/NP assist | $17.78 | $28.18 | $66.07 |
Where North Carolina sits
The same service costs 4.2 times more in Alaska than in New York. 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· 6th of 51
$234
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.