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 $151.36 Median $151.36 Typical High $204.17 | Facility | None | $151.36 | $151.36 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $162.18 | Professional | None | $141.25 | $151.36 | $162.18 |
BCBS North Carolina Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $338.84 | Professional | None | $117.49 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $489.78 | Professional | None | $147.91 | $263.03 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $151.36 | Facility | None | $141.25 | $141.25 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $190.55 | Professional | None | $117.49 | $173.78 | $190.55 |
Oscar Health Setting Professional Modifier None Typical Low $8,511.38 Median $9,549.93 Typical High $11,220.18 | Professional | None | $8,511.38 | $9,549.93 | $11,220.18 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $309.03 | Professional | None | $77.62 | $112.20 | $309.03 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $30.90 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $87.10 Typical High $87.10 | Professional | 51 · Multiple procedures | $58.88 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $34.67 Typical High $34.67 | Professional | 80 · Assistant surgeon | $23.44 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $24.55 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $16.22 | $24.55 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $24.55 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $24.55 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $24.55 Typical High $24.55 | Professional | AS · PA/NP assist | $16.22 | $24.55 | $24.55 |
Where North Carolina sits
The same service costs 5.8 times more in New Hampshire 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· 35th of 51
$174
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.