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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | None | $131.83 | $131.83 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $218.78 | Professional | None | $177.83 | $186.21 | $218.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $107.15 Median $199.53 Typical High $436.52 | Professional | None | $107.15 | $199.53 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $363.08 | Professional | None | $144.54 | $162.18 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $158.49 | Facility | None | $128.82 | $131.83 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $162.18 | Professional | None | $104.71 | $162.18 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $229.09 Typical High $302.00 | Professional | None | $120.23 | $229.09 | $302.00 |
United Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $338.84 | Professional | None | $125.89 | $154.88 | $338.84 |
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 $66.07 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $26.92 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $52.48 Median $81.28 Typical High $112.20 | Professional | 51 · Multiple procedures | $52.48 | $81.28 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $32.36 Typical High $44.67 | Professional | 80 · Assistant surgeon | $20.89 | $32.36 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $22.91 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $14.45 | $22.91 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $22.91 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $22.91 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $22.91 Typical High $30.90 | Professional | AS · PA/NP assist | $14.45 | $22.91 | $30.90 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska 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· 22nd of 51
$162
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.