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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | None | $43.65 | $44.67 | $44.67 |
BCBS North Carolina Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $128.82 | Professional | None | $44.67 | $79.43 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $120.23 | Professional | None | $40.74 | $50.12 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | None | $45.71 | $57.54 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Facility | None | $44.67 | $44.67 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $56.23 | Professional | None | $34.67 | $44.67 | $56.23 |
Oscar Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $36.31 Median $48.98 Typical High $109.65 | Professional | None | $36.31 | $48.98 | $109.65 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.38 Median $21.88 Typical High $39.81 | Professional | 51 · Multiple procedures | $17.38 | $21.88 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.92 Median $8.91 Typical High $15.85 | Professional | 80 · Assistant surgeon | $6.92 | $8.91 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $6.17 Typical High $10.96 | Professional | 81 · Minimal assistant surgeon | $4.90 | $6.17 | $10.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $6.17 Typical High $10.96 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $6.17 | $10.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $6.17 Typical High $10.96 | Professional | AS · PA/NP assist | $4.90 | $6.17 | $10.96 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 14th of 51
$60.26
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.