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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $169.82 | Professional | None | $151.36 | $154.88 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | None | $128.82 | $128.82 | $218.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $524.81 | Professional | None | $128.82 | $239.88 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $426.58 | Professional | None | $173.78 | $190.55 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Facility | None | $154.88 | $154.88 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $190.55 | Professional | None | $123.03 | $190.55 | $190.55 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $363.08 | Professional | None | $144.54 | $275.42 | $363.08 |
United Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $398.11 | Professional | None | $147.91 | $186.21 | $398.11 |
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 $75.86 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $75.86 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $30.90 | $30.90 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $95.50 Typical High $131.83 | Professional | 51 · Multiple procedures | $61.66 | $95.50 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $38.02 Typical High $52.48 | Professional | 80 · Assistant surgeon | $24.55 | $38.02 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $26.92 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $17.38 | $26.92 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $26.92 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $26.92 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $26.92 Typical High $36.31 | Professional | AS · PA/NP assist | $17.38 | $26.92 | $36.31 |
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
$195
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.