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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | None | $47.86 | $47.86 | $53.70 |
BCBS North Carolina Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $69.18 | Professional | None | $33.11 | $57.54 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $69.18 | Professional | None | $26.30 | $26.30 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $67.61 | Facility | None | $47.86 | $47.86 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $51.29 | Professional | None | $32.36 | $40.74 | $51.29 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $60.26 | Professional | None | $29.51 | $38.90 | $60.26 |
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 $23.99 Median $23.99 Typical High $26.30 | Professional | 52 · Reduced service | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.22 Median $20.42 Typical High $25.70 | Professional | 51 · Multiple procedures | $16.22 | $20.42 | $25.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $8.13 Typical High $10.23 | Professional | 80 · Assistant surgeon | $6.46 | $8.13 | $10.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $5.75 Typical High $7.08 | Professional | 81 · Minimal assistant surgeon | $4.57 | $5.75 | $7.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $5.75 Typical High $7.08 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $5.75 | $7.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $5.75 Typical High $7.08 | Professional | AS · PA/NP assist | $4.57 | $5.75 | $7.08 |
Where North Carolina sits
The same service costs 2.6 times more in Alaska than in Indiana. 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· 40th of 51
$48.98
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.