How much rates vary
Facilitymedian $151 · 10th to 90th $132 to $178Professionalmedian $141 · 10th to 90th $102 to $182
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 $131.83 Median $151.36 Typical High $177.83 | Facility | None | $131.83 | $151.36 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $177.83 | Professional | None | $125.89 | $151.36 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $144.54 | Professional | None | $95.50 | $117.49 | $144.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $181.97 | Professional | None | $109.65 | $141.25 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | None | $100.00 | $223.87 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $177.83 | Facility | None | $151.36 | $177.83 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $158.49 | Professional | None | $114.82 | $158.49 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | None | $100.00 | $100.00 | $134.90 |
United Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | None | $100.00 | $100.00 | $134.90 |
11 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 Facility Modifier AF · Specialist physician Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | AF · Specialist physician | $177.83 | $177.83 | $177.83 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | HO · Master's level | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | TD · Registered nurse | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | AF · Specialist physician | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | HO · Master's level | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | TD · Registered nurse | $141.25 | $141.25 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $79.43 Typical High $79.43 | Professional | 51 · Multiple procedures | $57.54 | $79.43 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $31.62 Typical High $31.62 | Professional | 80 · Assistant surgeon | $22.91 | $31.62 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $15.85 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $22.39 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $22.39 Typical High $22.39 | Professional | AS · PA/NP assist | $15.85 | $22.39 | $22.39 |
Where North Carolina sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 16th of 51
$141
ND $186OH $107
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.