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 $239.88 Median $239.88 Typical High $407.38 | Facility | None | $239.88 | $239.88 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $245.47 | Professional | None | $208.93 | $239.88 | $245.47 |
BCBS North Carolina Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $676.08 | Professional | None | $223.87 | $467.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $758.58 | Professional | None | $239.88 | $416.87 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $263.03 | Facility | None | $239.88 | $239.88 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $269.15 | Professional | None | $181.97 | $269.15 | $269.15 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $870.96 | Professional | None | $645.65 | $724.44 | $870.96 |
United Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $588.84 | Professional | None | $199.53 | $281.84 | $588.84 |
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 $117.49 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $117.49 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $46.77 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $134.90 Typical High $134.90 | Professional | 51 · Multiple procedures | $91.20 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $53.70 Typical High $53.70 | Professional | 80 · Assistant surgeon | $36.31 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $38.02 Typical High $38.02 | Professional | 81 · Minimal assistant surgeon | $25.12 | $38.02 | $38.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $38.02 Typical High $38.02 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $38.02 | $38.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $38.02 Typical High $38.02 | Professional | AS · PA/NP assist | $25.12 | $38.02 | $38.02 |
Where North Carolina sits
The same service costs 3.5 times more in Minnesota 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· 29th of 51
$339
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.