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 $104.71 Median $104.71 Typical High $251.19 | Facility | None | $104.71 | $104.71 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $117.49 | Professional | None | $102.33 | $104.71 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $295.12 | Professional | None | $85.11 | $134.90 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $295.12 | Professional | None | $117.49 | $134.90 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $104.71 Typical High $123.03 | Facility | None | $102.33 | $104.71 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $131.83 | Professional | None | $81.28 | $128.82 | $131.83 |
Oscar Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
United Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $263.03 | Professional | None | $100.00 | $125.89 | $263.03 |
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 $52.48 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $40.74 Median $64.57 Typical High $89.13 | Professional | 51 · Multiple procedures | $40.74 | $64.57 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.22 Median $25.70 Typical High $35.48 | Professional | 80 · Assistant surgeon | $16.22 | $25.70 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $18.20 Typical High $25.12 | Professional | 81 · Minimal assistant surgeon | $11.48 | $18.20 | $25.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $18.20 Typical High $25.12 | Professional | 82 · Assistant surgeon, no resident | $11.48 | $18.20 | $25.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $18.20 Typical High $25.12 | Professional | AS · PA/NP assist | $11.48 | $18.20 | $25.12 |
Where North Carolina sits
The same service costs 2.7 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
$129
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.