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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $281.84 | Professional | None | $190.55 | $199.53 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | None | $190.55 | $190.55 | $204.17 |
BCBS North Carolina Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $467.74 | Professional | None | $218.78 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $363.08 | Professional | None | $173.78 | $186.21 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $371.54 | Professional | None | $251.19 | $251.19 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $245.47 | Facility | None | $199.53 | $199.53 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $208.93 | Professional | None | $158.49 | $190.55 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $309.03 | Professional | None | $186.21 | $194.98 | $309.03 |
United Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $346.74 | Professional | None | $158.49 | $181.97 | $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 $77.62 Median $95.50 Typical High $120.23 | Professional | 51 · Multiple procedures | $77.62 | $95.50 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $38.02 Typical High $48.98 | Professional | 80 · Assistant surgeon | $31.62 | $38.02 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $26.92 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $21.88 | $26.92 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $26.92 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $26.92 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $26.92 Typical High $33.88 | Professional | AS · PA/NP assist | $21.88 | $26.92 | $33.88 |
Where North Carolina sits
The same service costs 3.1 times more in Alaska than in New York. 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· 13th of 51
$295
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.