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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | None | $19.05 | $19.05 | $19.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $16.22 Median $54.95 Typical High $93.33 | Professional | None | $16.22 | $54.95 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $51.29 | Professional | None | $26.92 | $35.48 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $47.86 | Professional | None | $35.48 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $33.11 Typical High $35.48 | Professional | None | $14.79 | $33.11 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $39.81 | Professional | None | $17.38 | $31.62 | $39.81 |
United Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $46.77 | Professional | None | $18.20 | $30.90 | $46.77 |
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 $7.41 Median $16.60 Typical High $17.78 | Professional | 51 · Multiple procedures | $7.41 | $16.60 | $17.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.95 Median $6.61 Typical High $7.08 | Professional | 80 · Assistant surgeon | $2.95 | $6.61 | $7.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.09 Median $4.57 Typical High $5.01 | Professional | 81 · Minimal assistant surgeon | $2.09 | $4.57 | $5.01 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.09 Median $4.57 Typical High $5.01 | Professional | 82 · Assistant surgeon, no resident | $2.09 | $4.57 | $5.01 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.09 Median $4.57 Typical High $5.01 | Professional | AS · PA/NP assist | $2.09 | $4.57 | $5.01 |
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· 7th of 51
$35.48
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.