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 $51.29 Median $52.48 Typical High $52.48 | Facility | None | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $60.26 | Professional | None | $51.29 | $52.48 | $60.26 |
BCBS North Carolina Setting Professional Modifier None Typical Low $40.74 Median $66.07 Typical High $173.78 | Professional | None | $40.74 | $66.07 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $144.54 | Professional | None | $57.54 | $63.10 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $57.54 | Facility | None | $48.98 | $51.29 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $64.57 | Professional | None | $40.74 | $64.57 | $64.57 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None | $53.70 | $53.70 | $64.57 |
United Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $128.82 | Professional | None | $50.12 | $61.66 | $128.82 |
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 $25.70 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $10.23 | $10.47 | $10.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.42 Median $32.36 Typical High $43.65 | Professional | 51 · Multiple procedures | $20.42 | $32.36 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.13 Median $12.88 Typical High $17.78 | Professional | 80 · Assistant surgeon | $8.13 | $12.88 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.75 Median $8.91 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $5.75 | $8.91 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.75 Median $8.91 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $5.75 | $8.91 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.75 Median $8.91 Typical High $12.30 | Professional | AS · PA/NP assist | $5.75 | $8.91 | $12.30 |
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
$61.66
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.