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 $22.39 Median $22.39 Typical High $66.07 | Facility | None | $22.39 | $22.39 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $52.48 Typical High $66.07 | Professional | None | $22.39 | $52.48 | $66.07 |
BCBS North Carolina Setting Professional Modifier None Typical Low $18.20 Median $66.07 Typical High $173.78 | Professional | None | $18.20 | $66.07 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $64.57 Typical High $138.04 | Professional | None | $26.92 | $64.57 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | None | $64.57 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $22.39 Typical High $85.11 | Facility | None | $21.38 | $22.39 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | None | $53.70 | $63.10 | $79.43 |
United Setting Professional Modifier None Typical Low $22.39 Median $56.23 Typical High $123.03 | Professional | None | $22.39 | $56.23 | $123.03 |
7 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 Professional Modifier 52 · Reduced service Typical Low $11.22 Median $26.30 Typical High $33.11 | Professional | 52 · Reduced service | $11.22 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $10.47 Typical High $13.49 | Professional | 53 · Discontinued | $4.47 | $10.47 | $13.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $31.62 Typical High $57.54 | Professional | 51 · Multiple procedures | $26.92 | $31.62 | $57.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $12.59 Typical High $22.91 | Professional | 80 · Assistant surgeon | $10.96 | $12.59 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $8.71 Typical High $16.22 | Professional | 81 · Minimal assistant surgeon | $7.59 | $8.71 | $16.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $8.71 Typical High $16.22 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $8.71 | $16.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $8.71 Typical High $16.22 | Professional | AS · PA/NP assist | $7.59 | $8.71 | $16.22 |
Where North Carolina sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 16th of 51
$66.07
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.