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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | None | $138.04 | $138.04 | $141.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $114.82 Median $263.03 Typical High $467.74 | Professional | None | $114.82 | $263.03 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $309.03 | Professional | None | $158.49 | $165.96 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | None | $223.87 | $223.87 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $138.04 | Facility | None | $134.90 | $134.90 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $169.82 | Professional | None | $107.15 | $154.88 | $169.82 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $218.78 Typical High $275.42 | Professional | None | $120.23 | $218.78 | $275.42 |
United Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $269.15 | Professional | None | $131.83 | $154.88 | $269.15 |
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 $53.70 Median $77.62 Typical High $85.11 | Professional | 51 · Multiple procedures | $53.70 | $77.62 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $30.90 Typical High $33.88 | Professional | 80 · Assistant surgeon | $21.38 | $30.90 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $21.88 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $15.14 | $21.88 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $21.88 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $21.88 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $21.88 Typical High $23.99 | Professional | AS · PA/NP assist | $15.14 | $21.88 | $23.99 |
Where North Carolina sits
The same service costs 2.7 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· 21st of 51
$182
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.