How much rates vary
Facilitymedian $129 · 10th to 90th $91 to $151Professionalmedian $107 · 10th to 90th $79 to $129
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 $97.72 Median $128.82 Typical High $173.78 | Facility | None | $97.72 | $128.82 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $151.36 | Professional | None | $91.20 | $125.89 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $147.91 | Professional | None | $74.13 | $77.62 | $147.91 |
BCBS North Carolina Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $120.23 | Professional | None | $81.28 | $107.15 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $102.33 | Professional | None | $54.95 | $67.61 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $138.04 | Professional | None | $87.10 | $138.04 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $151.36 | Facility | None | $91.20 | $100.00 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $93.33 | Professional | None | $61.66 | $77.62 | $93.33 |
Oscar Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | None | $83.18 | $83.18 | $95.50 |
United Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | None | $83.18 | $83.18 | $112.20 |
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 $128.82 Median $151.36 Typical High $151.36 | Facility | AF · Specialist physician | $128.82 | $151.36 | $151.36 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $97.72 Median $112.20 Typical High $112.20 | Facility | HO · Master's level | $97.72 | $112.20 | $112.20 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $109.65 Median $128.82 Typical High $128.82 | Facility | TD · Registered nurse | $109.65 | $128.82 | $128.82 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $104.71 Median $117.49 Typical High $151.36 | Professional | AF · Specialist physician | $104.71 | $117.49 | $151.36 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | HO · Master's level | $87.10 | $87.10 | $112.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | TD · Registered nurse | $100.00 | $100.00 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $38.90 Typical High $46.77 | Professional | 51 · Multiple procedures | $30.90 | $38.90 | $46.77 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | 80 · Assistant surgeon | $12.30 | $15.49 | $18.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $8.71 | $10.96 | $13.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $10.96 | $13.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | AS · PA/NP assist | $8.71 | $10.96 | $13.18 |
Where North Carolina sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 9th of 51
$107
AK $129NM $72.44
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.