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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $269.15 | Professional | None | $151.36 | $186.21 | $269.15 |
BCBS North Carolina Setting Professional Modifier None Typical Low $151.36 Median $489.78 Typical High $616.60 | Professional | None | $151.36 | $489.78 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $323.59 | Professional | None | $112.20 | $144.54 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $154.88 | Facility | None | $144.54 | $144.54 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $204.17 Typical High $354.81 | Professional | None | $109.65 | $204.17 | $354.81 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $295.12 | Professional | None | $125.89 | $245.47 | $295.12 |
United Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $371.54 | Professional | None | $144.54 | $223.87 | $371.54 |
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 $72.44 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $102.33 Typical High $177.83 | Professional | 51 · Multiple procedures | $54.95 | $102.33 | $177.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $40.74 Typical High $70.79 | Professional | 80 · Assistant surgeon | $21.88 | $40.74 | $70.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $28.84 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $15.49 | $28.84 | $50.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $28.84 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $28.84 | $50.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $28.84 Typical High $50.12 | Professional | AS · PA/NP assist | $15.49 | $28.84 | $50.12 |
Where North Carolina sits
The same service costs 5.0 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· 2nd of 51
$468
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.