How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $51.29 Median $52.48 Typical High $109.65 | Facility | None | $51.29 | $52.48 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $134.90 | Professional | None | $51.29 | $52.48 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | None | $74.13 | $74.13 | $79.43 |
BCBS North Carolina Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $79.43 Median $190.55 Typical High $213.80 | Professional | None | $79.43 | $190.55 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $165.96 Typical High $346.74 | Facility | None | $57.54 | $165.96 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $60.26 Typical High $162.18 | Professional | None | $32.36 | $60.26 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | None | $87.10 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $89.13 | Facility | None | $51.29 | $51.29 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $117.49 | Professional | None | $60.26 | $69.18 | $117.49 |
United Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $114.82 | Professional | None | $38.02 | $61.66 | $114.82 |
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 $30.20 Median $30.20 Typical High $64.57 | Professional | 51 · Multiple procedures | $30.20 | $30.20 | $64.57 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $12.30 Typical High $25.70 | Professional | 80 · Assistant surgeon | $12.02 | $12.30 | $25.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $8.51 Typical High $18.20 | Professional | 81 · Minimal assistant surgeon | $8.51 | $8.51 | $18.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $8.51 Typical High $18.20 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $8.51 | $18.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $8.51 Typical High $18.20 | Professional | AS · PA/NP assist | $8.51 | $8.51 | $18.20 |
Where North Carolina sits
The same service costs 7.1 times more in Alaska than in Alabama. 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· 30th of 51
$89.13
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.