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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $46.77 | Professional | None | $29.51 | $29.51 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $51.29 | Professional | None | $26.30 | $43.65 | $51.29 |
BCBS North Carolina Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $100.00 | Professional | None | $28.18 | $42.66 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $87.10 | Professional | None | $38.02 | $42.66 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $33.88 | Facility | None | $29.51 | $29.51 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $42.66 | Professional | None | $23.44 | $37.15 | $42.66 |
United Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $67.61 | Professional | None | $28.84 | $36.31 | $67.61 |
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 $11.75 Median $18.62 Typical High $21.38 | Professional | 51 · Multiple procedures | $11.75 | $18.62 | $21.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.68 Median $7.41 Typical High $8.51 | Professional | 80 · Assistant surgeon | $4.68 | $7.41 | $8.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.24 Median $5.25 Typical High $6.03 | Professional | 81 · Minimal assistant surgeon | $3.24 | $5.25 | $6.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.24 Median $5.25 Typical High $6.03 | Professional | 82 · Assistant surgeon, no resident | $3.24 | $5.25 | $6.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.24 Median $5.25 Typical High $6.03 | Professional | AS · PA/NP assist | $3.24 | $5.25 | $6.03 |
Where North Carolina sits
The same service costs 2.5 times more in Alaska than in Maryland. 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· 23rd of 51
$40.74
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.