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 $17.38 Median $20.42 Typical High $20.42 | Facility | None | $17.38 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $20.42 | Professional | None | $17.38 | $19.05 | $20.42 |
BCBS North Carolina Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $38.02 | Professional | None | $13.80 | $19.50 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $39.81 | Professional | None | $15.85 | $15.85 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $17.38 Typical High $22.91 | Facility | None | $16.60 | $17.38 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $25.70 | Professional | None | $16.22 | $20.42 | $25.70 |
United Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $25.70 | Professional | None | $12.88 | $17.38 | $25.70 |
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 $7.94 Median $10.23 Typical High $12.88 | Professional | 51 · Multiple procedures | $7.94 | $10.23 | $12.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.24 Median $4.07 Typical High $5.13 | Professional | 80 · Assistant surgeon | $3.24 | $4.07 | $5.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.24 Median $2.82 Typical High $3.55 | Professional | 81 · Minimal assistant surgeon | $2.24 | $2.82 | $3.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.24 Median $2.82 Typical High $3.55 | Professional | 82 · Assistant surgeon, no resident | $2.24 | $2.82 | $3.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.24 Median $2.82 Typical High $3.55 | Professional | AS · PA/NP assist | $2.24 | $2.82 | $3.55 |
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· 32nd of 51
$19.50
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.