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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $19.50 | Professional | None | $16.22 | $17.78 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $25.12 | Professional | None | $14.79 | $20.89 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $23.99 | Professional | None | $11.48 | $11.48 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $24.55 | Facility | None | $17.78 | $17.78 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $19.95 | Professional | None | $12.02 | $15.14 | $19.95 |
United Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $21.38 | Professional | None | $10.23 | $13.18 | $21.38 |
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 $8.32 Median $8.91 Typical High $9.55 | Professional | 52 · Reduced service | $8.32 | $8.91 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.63 Typical High $3.80 | Professional | 53 · Discontinued | $3.39 | $3.63 | $3.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $6.03 Median $7.59 Typical High $11.22 | Professional | 51 · Multiple procedures | $6.03 | $7.59 | $11.22 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.40 Median $3.02 Typical High $4.47 | Professional | 80 · Assistant surgeon | $2.40 | $3.02 | $4.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.70 Median $2.14 Typical High $3.09 | Professional | 81 · Minimal assistant surgeon | $1.70 | $2.14 | $3.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.70 Median $2.14 Typical High $3.09 | Professional | 82 · Assistant surgeon, no resident | $1.70 | $2.14 | $3.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.70 Median $2.14 Typical High $3.09 | Professional | AS · PA/NP assist | $1.70 | $2.14 | $3.09 |
Where North Carolina sits
The same service costs 2.6 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· 34th of 51
$19.05
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.