How much rates vary
Facilitymedian $129 · 10th to 90th $110 to $158Professionalmedian $112 · 10th to 90th $81 to $138
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 $112.20 Median $128.82 Typical High $169.82 | Facility | None | $112.20 | $128.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $151.36 | Professional | None | $95.50 | $128.82 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $154.88 | Professional | None | $75.86 | $81.28 | $154.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $125.89 | Professional | None | $87.10 | $112.20 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $125.89 | Professional | None | $57.54 | $70.79 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $169.82 | Professional | None | $97.72 | $169.82 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $120.23 Typical High $151.36 | Facility | None | $63.10 | $120.23 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $112.20 | Professional | None | $77.62 | $81.28 | $112.20 |
Oscar Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | None | $87.10 | $87.10 | $97.72 |
United Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $117.49 | Professional | None | $87.10 | $87.10 | $117.49 |
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 $151.36 Median $151.36 Typical High $158.49 | Facility | AF · Specialist physician | $151.36 | $151.36 | $158.49 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $112.20 Median $112.20 Typical High $117.49 | Facility | HO · Master's level | $112.20 | $112.20 | $117.49 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $128.82 Median $128.82 Typical High $134.90 | Facility | TD · Registered nurse | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $104.71 Median $141.25 Typical High $151.36 | Professional | AF · Specialist physician | $104.71 | $141.25 | $151.36 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | HO · Master's level | $107.15 | $107.15 | $112.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | TD · Registered nurse | $120.23 | $120.23 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $40.74 Typical High $56.23 | Professional | 51 · Multiple procedures | $38.90 | $40.74 | $56.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $16.22 Typical High $22.39 | Professional | 80 · Assistant surgeon | $15.49 | $16.22 | $22.39 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $11.22 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $10.72 | $11.22 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $11.22 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $11.22 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $11.22 Typical High $15.85 | Professional | AS · PA/NP assist | $10.72 | $11.22 | $15.85 |
Where North Carolina sits
The same service costs 1.7 times more in Alaska 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· 9th of 51
$112
AK $132OH $75.86
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.