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 $398.11 Median $407.38 Typical High $407.38 | Facility | None | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $436.52 | Professional | None | $398.11 | $407.38 | $436.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $1,348.96 | Professional | None | $331.13 | $501.19 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $1,096.48 | Professional | None | $446.68 | $489.78 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $489.78 | Facility | None | $398.11 | $398.11 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $489.78 | Professional | None | $316.23 | $489.78 | $489.78 |
Oscar Health Setting Professional Modifier None Typical Low $371.54 Median $707.95 Typical High $933.25 | Professional | None | $371.54 | $707.95 | $933.25 |
United Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $1,023.29 | Professional | None | $380.19 | $478.63 | $1,023.29 |
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 $194.98 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $194.98 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $81.28 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $245.47 Typical High $338.84 | Professional | 51 · Multiple procedures | $158.49 | $245.47 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $100.00 Typical High $134.90 | Professional | 80 · Assistant surgeon | $63.10 | $100.00 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $69.18 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $43.65 | $69.18 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $69.18 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $69.18 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $69.18 Typical High $95.50 | Professional | AS · PA/NP assist | $43.65 | $69.18 | $95.50 |
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
$490
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.