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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $141.25 | Professional | None | $114.82 | $117.49 | $141.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $107.15 Median $234.42 Typical High $501.19 | Professional | None | $107.15 | $234.42 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $263.03 Typical High $549.54 | Professional | None | $85.11 | $263.03 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $281.84 | Facility | None | $117.49 | $117.49 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $269.15 | Professional | None | $181.97 | $269.15 | $269.15 |
Oscar Health Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $537.03 | Professional | None | $234.42 | $446.68 | $537.03 |
United Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $223.87 | Professional | None | $36.31 | $52.48 | $223.87 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $134.90 Typical High $134.90 | Professional | 51 · Multiple procedures | $91.20 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $53.70 Typical High $53.70 | Professional | 80 · Assistant surgeon | $36.31 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $38.02 Typical High $38.02 | Professional | 81 · Minimal assistant surgeon | $25.70 | $38.02 | $38.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $38.02 Typical High $38.02 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $38.02 | $38.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $38.02 Typical High $38.02 | Professional | AS · PA/NP assist | $25.70 | $38.02 | $38.02 |
Where North Carolina sits
The same service costs 13.5 times more in Minnesota 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· 27th of 51
$234
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.