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 $123.03 Median $162.18 Typical High $162.18 | Facility | None | $123.03 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $162.18 | Professional | None | $123.03 | $134.90 | $162.18 |
BCBS North Carolina Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $190.55 | Professional | None | $95.50 | $131.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $323.59 | Professional | None | $144.54 | $173.78 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $234.42 | Professional | None | $117.49 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $131.83 Typical High $162.18 | Facility | None | $123.03 | $131.83 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $162.18 | Professional | None | $109.65 | $131.83 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None | $213.80 | $213.80 | $288.40 |
United Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $346.74 | Professional | None | $123.03 | $165.96 | $346.74 |
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 $54.95 Median $64.57 Typical High $81.28 | Professional | 51 · Multiple procedures | $54.95 | $64.57 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $26.30 Typical High $32.36 | Professional | 80 · Assistant surgeon | $22.39 | $26.30 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $18.20 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $15.49 | $18.20 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $18.20 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $18.20 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $18.20 Typical High $22.91 | Professional | AS · PA/NP assist | $15.49 | $18.20 | $22.91 |
Where North Carolina sits
The same service costs 2.4 times more in Alaska than in Kentucky. 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· 43rd of 51
$132
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.