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 $15.14 Median $15.14 Typical High $17.78 | Facility | None | $15.14 | $15.14 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $33.11 | Professional | None | $15.14 | $17.78 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
BCBS North Carolina Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.79 Median $56.23 Typical High $77.62 | Professional | None | $14.79 | $56.23 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $27.54 Typical High $83.18 | Facility | None | $13.80 | $27.54 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $19.95 Typical High $46.77 | Professional | None | $9.12 | $19.95 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $74.13 | Professional | None | $45.71 | $69.18 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $17.78 Typical High $25.70 | Facility | None | $15.14 | $17.78 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $54.95 | Professional | None | $32.36 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $51.29 | Professional | None | $10.72 | $18.62 | $51.29 |
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 $22.39 Median $27.54 Typical High $30.90 | Professional | 51 · Multiple procedures | $22.39 | $27.54 | $30.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $10.96 Typical High $12.30 | Professional | 80 · Assistant surgeon | $8.91 | $10.96 | $12.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $7.76 Typical High $8.71 | Professional | 81 · Minimal assistant surgeon | $6.31 | $7.76 | $8.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $7.76 Typical High $8.71 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $7.76 | $8.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $7.76 Typical High $8.71 | Professional | AS · PA/NP assist | $6.31 | $7.76 | $8.71 |
Where North Carolina sits
The same service costs 4.8 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· 17th of 51
$25.70
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.