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 $436.52 Median $436.52 Typical High $1,023.29 | Facility | None | $436.52 | $436.52 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $489.78 | Professional | None | $436.52 | $436.52 | $489.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $251.19 Median $602.56 Typical High $1,698.24 | Professional | None | $251.19 | $602.56 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $1,096.48 | Professional | None | $436.52 | $724.44 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $537.03 | Facility | None | $436.52 | $436.52 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $524.81 | Professional | None | $346.74 | $524.81 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,148.15 | $1,380.38 |
United Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $1,023.29 | Professional | None | $234.42 | $371.54 | $1,023.29 |
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 $213.80 Median $213.80 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 53 · Discontinued | $87.10 | $87.10 | $91.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $173.78 Median $263.03 Typical High $263.03 | Professional | 51 · Multiple procedures | $173.78 | $263.03 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $104.71 Typical High $104.71 | Professional | 80 · Assistant surgeon | $69.18 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $48.98 Median $72.44 Typical High $72.44 | Professional | 81 · Minimal assistant surgeon | $48.98 | $72.44 | $72.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $48.98 Median $72.44 Typical High $72.44 | Professional | 82 · Assistant surgeon, no resident | $48.98 | $72.44 | $72.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $72.44 Typical High $72.44 | Professional | AS · PA/NP assist | $48.98 | $72.44 | $72.44 |
Where North Carolina sits
The same service costs 4.8 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· 26th of 51
$525
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.