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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $70.79 | Professional | None | $36.31 | $36.31 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | None | $48.98 | $57.54 | $63.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $34.67 Median $52.48 Typical High $190.55 | Professional | None | $34.67 | $52.48 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $169.82 | Professional | None | $53.70 | $74.13 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $41.69 | Facility | None | $36.31 | $36.31 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $72.44 Typical High $77.62 | Professional | None | $28.84 | $72.44 | $77.62 |
United Setting Professional Modifier None Typical Low $37.15 Median $64.57 Typical High $107.15 | Professional | None | $37.15 | $64.57 | $107.15 |
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 $14.45 Median $36.31 Typical High $38.90 | Professional | 51 · Multiple procedures | $14.45 | $36.31 | $38.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.75 Median $14.45 Typical High $15.49 | Professional | 80 · Assistant surgeon | $5.75 | $14.45 | $15.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.98 Median $10.23 Typical High $10.72 | Professional | 81 · Minimal assistant surgeon | $3.98 | $10.23 | $10.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.98 Median $10.23 Typical High $10.72 | Professional | 82 · Assistant surgeon, no resident | $3.98 | $10.23 | $10.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.98 Median $10.23 Typical High $10.72 | Professional | AS · PA/NP assist | $3.98 | $10.23 | $10.72 |
Where North Carolina sits
The same service costs 2.6 times more in Minnesota 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· 28th of 51
$54.95
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.