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 $831.76 Median $831.76 Typical High $2,041.74 | Facility | None | $831.76 | $831.76 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $954.99 | Professional | None | $831.76 | $831.76 | $954.99 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $3,388.44 | Professional | None | $812.83 | $1,258.93 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $1,995.26 | Professional | None | $812.83 | $1,348.96 | $1,995.26 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $977.24 | Facility | None | $831.76 | $831.76 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $954.99 | Professional | None | $630.96 | $954.99 | $954.99 |
Oscar Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $3,715.35 | Professional | None | $2,754.23 | $3,090.30 | $3,715.35 |
United Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,862.09 | Professional | None | $407.38 | $676.08 | $1,862.09 |
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 $416.87 Median $416.87 Typical High $426.58 | Professional | 52 · Reduced service | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 53 · Discontinued | $165.96 | $165.96 | $169.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $478.63 Typical High $478.63 | Professional | 51 · Multiple procedures | $316.23 | $478.63 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $190.55 Typical High $190.55 | Professional | 80 · Assistant surgeon | $128.82 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $89.13 | $131.83 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $131.83 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | AS · PA/NP assist | $89.13 | $131.83 | $131.83 |
Where North Carolina sits
The same service costs 2.6 times more in Nebraska than in North Dakota. 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· 24th of 51
$1,047
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.