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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $38.02 | Professional | None | $33.88 | $37.15 | $38.02 |
BCBS North Carolina Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $58.88 | Professional | None | $36.31 | $46.77 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | None | $42.66 | $42.66 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $43.65 | Facility | None | $37.15 | $37.15 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $57.54 Typical High $57.54 | Professional | None | $34.67 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $39.81 | Professional | None | $22.91 | $30.20 | $39.81 |
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 $17.38 Median $28.18 Typical High $28.18 | Professional | 51 · Multiple procedures | $17.38 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.92 Median $11.48 Typical High $11.48 | Professional | 80 · Assistant surgeon | $6.92 | $11.48 | $11.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.79 Median $7.94 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $4.79 | $7.94 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.79 Median $7.94 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $4.79 | $7.94 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.79 Median $7.94 Typical High $7.94 | Professional | AS · PA/NP assist | $4.79 | $7.94 | $7.94 |
Where North Carolina sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 15th of 51
$43.65
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.