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 $724.44 Median $724.44 Typical High $1,698.24 | Facility | None | $724.44 | $724.44 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $794.33 | Professional | None | $707.95 | $724.44 | $794.33 |
BCBS North Carolina Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $2,630.27 | Professional | None | $676.08 | $1,047.13 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,819.70 | Professional | None | $707.95 | $1,148.15 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $812.83 | Facility | None | $724.44 | $724.44 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $812.83 | Professional | None | $549.54 | $812.83 | $812.83 |
Oscar Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,778.28 | $2,089.30 |
United Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $1,548.82 | Professional | None | $371.54 | $562.34 | $1,548.82 |
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 $354.81 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $141.25 | $144.54 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $407.38 Typical High $407.38 | Professional | 51 · Multiple procedures | $275.42 | $407.38 | $407.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $162.18 Typical High $162.18 | Professional | 80 · Assistant surgeon | $109.65 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $114.82 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $75.86 | $114.82 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $114.82 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $114.82 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $114.82 Typical High $114.82 | Professional | AS · PA/NP assist | $75.86 | $114.82 | $114.82 |
Where North Carolina sits
The same service costs 4.1 times more in Nebraska than in Arkansas. 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
$871
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.