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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,380.38 | $1,778.28 | $1,949.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,380.38 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $5,623.41 Typical High $5,623.41 | Facility | None | $3,630.78 | $5,623.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $891.25 | Facility | None | $831.76 | $831.76 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,258.93 | $1,862.09 |
United Setting Professional Modifier None Typical Low $100.00 Median $1,122.02 Typical High $2,454.71 | Professional | None | $100.00 | $1,122.02 | $2,454.71 |
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 $416.87 Median $416.87 Typical High $691.83 | Professional | 52 · Reduced service | $416.87 | $416.87 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | 53 · Discontinued | $165.96 | $165.96 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | FX · Film X-ray | $602.56 | $660.69 | $660.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $630.96 Median $630.96 Typical High $1,202.26 | Professional | 51 · Multiple procedures | $630.96 | $630.96 | $1,202.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $251.19 Typical High $489.78 | Professional | 80 · Assistant surgeon | $251.19 | $251.19 | $489.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $177.83 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $177.83 | $177.83 | $338.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $177.83 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $177.83 | $177.83 | $338.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $177.83 Typical High $338.84 | Professional | AS · PA/NP assist | $177.83 | $177.83 | $338.84 |
Where North Carolina sits
The same service costs 64.6 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· 18th of 51
$1,318
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.