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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $69.18 Median $169.82 Typical High $288.40 | Professional | None | $69.18 | $169.82 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $186.21 | Professional | None | $104.71 | $109.65 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | None | $144.54 | $144.54 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Facility | None | $83.18 | $83.18 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $109.65 | Professional | None | $66.07 | $102.33 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $169.82 | Professional | None | $74.13 | $134.90 | $169.82 |
United Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $165.96 | Professional | None | $81.28 | $97.72 | $165.96 |
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 $33.11 Median $51.29 Typical High $54.95 | Professional | 51 · Multiple procedures | $33.11 | $51.29 | $54.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $20.42 Typical High $21.88 | Professional | 80 · Assistant surgeon | $13.18 | $20.42 | $21.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $14.13 Typical High $15.49 | Professional | 81 · Minimal assistant surgeon | $9.33 | $14.13 | $15.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $14.13 Typical High $15.49 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $14.13 | $15.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $14.13 Typical High $15.49 | Professional | AS · PA/NP assist | $9.33 | $14.13 | $15.49 |
Where North Carolina sits
The same service costs 2.6 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· 18th of 51
$115
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.