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 $35.48 Median $35.48 Typical High $56.23 | Facility | None | $35.48 | $35.48 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $56.23 | Professional | None | $35.48 | $43.65 | $56.23 |
BCBS North Carolina Setting Professional Modifier None Typical Low $43.65 Median $81.28 Typical High $141.25 | Professional | None | $43.65 | $81.28 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $120.23 | Professional | None | $32.36 | $45.71 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None | $46.77 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $72.44 | Facility | None | $35.48 | $37.15 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $66.07 | Professional | None | $44.67 | $46.77 | $66.07 |
Oscar Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $79.43 | Professional | None | $41.69 | $41.69 | $79.43 |
United Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $114.82 | Professional | None | $33.88 | $52.48 | $114.82 |
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 $22.39 Median $23.44 Typical High $43.65 | Professional | 51 · Multiple procedures | $22.39 | $23.44 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $9.33 Typical High $17.38 | Professional | 80 · Assistant surgeon | $8.91 | $9.33 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $6.46 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $6.31 | $6.46 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $6.46 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $6.46 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $6.46 Typical High $12.30 | Professional | AS · PA/NP assist | $6.31 | $6.46 | $12.30 |
Where North Carolina sits
The same service costs 3.2 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· 13th of 51
$66.07
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.