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 $79.43 Median $79.43 Typical High $89.13 | Facility | None | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $89.13 | Professional | None | $79.43 | $85.11 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
BCBS North Carolina Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $102.33 | Professional | None | $63.10 | $75.86 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $173.78 | Professional | None | $40.74 | $40.74 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $79.43 Typical High $102.33 | Facility | None | $75.86 | $79.43 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $112.20 | Professional | None | $53.70 | $81.28 | $112.20 |
United Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $107.15 | Professional | None | $53.70 | $72.44 | $107.15 |
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 $26.92 Median $40.74 Typical High $87.10 | Professional | 51 · Multiple procedures | $26.92 | $40.74 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.72 Median $16.22 Typical High $34.67 | Professional | 80 · Assistant surgeon | $10.72 | $16.22 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $11.22 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $7.59 | $11.22 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $11.22 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $11.22 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $11.22 Typical High $24.55 | Professional | AS · PA/NP assist | $7.59 | $11.22 | $24.55 |
Where North Carolina sits
The same service costs 3.0 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· 46th of 51
$75.86
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.