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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | None | $26.30 | $26.30 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $41.69 | Professional | None | $22.39 | $33.11 | $41.69 |
BCBS North Carolina Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $81.28 | Professional | None | $23.99 | $33.88 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $75.86 | Professional | None | $30.20 | $33.11 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $28.84 | Facility | None | $26.30 | $26.30 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $30.20 | Professional | None | $20.42 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $45.71 Typical High $57.54 | Professional | None | $25.12 | $45.71 | $57.54 |
United Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $58.88 | Professional | None | $25.12 | $36.31 | $58.88 |
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 $13.18 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.00 Median $15.14 Typical High $15.14 | Professional | 51 · Multiple procedures | $10.00 | $15.14 | $15.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.07 Median $6.03 Typical High $6.03 | Professional | 80 · Assistant surgeon | $4.07 | $6.03 | $6.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.82 Median $4.27 Typical High $4.27 | Professional | 81 · Minimal assistant surgeon | $2.82 | $4.27 | $4.27 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.82 Median $4.27 Typical High $4.27 | Professional | 82 · Assistant surgeon, no resident | $2.82 | $4.27 | $4.27 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.82 Median $4.27 Typical High $4.27 | Professional | AS · PA/NP assist | $2.82 | $4.27 | $4.27 |
Where North Carolina sits
The same service costs 2.9 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· 22nd of 51
$33.88
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.