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 $199.53 Median $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $223.87 | Professional | None | $199.53 | $204.17 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $363.08 Typical High $363.08 | Professional | None | $208.93 | $363.08 | $363.08 |
BCBS North Carolina Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $676.08 | Professional | None | $169.82 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $562.34 | Professional | None | $223.87 | $251.19 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $251.19 | Facility | None | $199.53 | $204.17 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $251.19 | Professional | None | $162.18 | $251.19 | $251.19 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $478.63 | Professional | None | $190.55 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $524.81 | Professional | None | $194.98 | $239.88 | $524.81 |
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 $100.00 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $100.00 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $40.74 | $42.66 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $125.89 Typical High $173.78 | Professional | 51 · Multiple procedures | $81.28 | $125.89 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $50.12 Typical High $69.18 | Professional | 80 · Assistant surgeon | $32.36 | $50.12 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $35.48 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $22.39 | $35.48 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $35.48 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $35.48 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $35.48 Typical High $48.98 | Professional | AS · PA/NP assist | $22.39 | $35.48 | $48.98 |
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· 23rd of 51
$251
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.