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 $416.87 Median $416.87 Typical High $660.69 | Facility | None | $416.87 | $416.87 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $724.44 | Professional | None | $398.11 | $416.87 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $707.95 | Professional | None | $537.03 | $537.03 | $707.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,318.26 | Professional | None | $630.96 | $812.83 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,122.02 | Professional | None | $426.58 | $602.56 | $1,122.02 |
Medcost 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 Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Facility | None | $416.87 | $416.87 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $954.99 | Professional | None | $501.19 | $676.08 | $954.99 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $1,230.27 | Professional | None | $407.38 | $616.60 | $1,230.27 |
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 $204.17 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $204.17 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $331.13 Typical High $331.13 | Professional | FX · Film X-ray | $295.12 | $331.13 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $338.84 Typical High $602.56 | Professional | 51 · Multiple procedures | $288.40 | $338.84 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $134.90 Typical High $245.47 | Professional | 80 · Assistant surgeon | $117.49 | $134.90 | $245.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $93.33 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $81.28 | $93.33 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $93.33 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $93.33 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $93.33 Typical High $169.82 | Professional | AS · PA/NP assist | $81.28 | $93.33 | $169.82 |
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· 10th of 51
$759
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.