How much rates vary
Facilitymedian $59 · 10th to 90th $56 to $78Professionalmedian $58 · 10th to 90th $38 to $76
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $56.23 Median $58.88 Typical High $77.62 | Facility | None | $56.23 | $58.88 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | None | $56.23 | $58.88 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $85.11 Typical High $85.11 | Professional | None | $51.29 | $85.11 | $85.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $75.86 | Professional | None | $38.02 | $48.98 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $120.23 | Professional | None | $48.98 | $69.18 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $79.43 | Facility | None | $56.23 | $56.23 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $144.54 | Professional | None | $54.95 | $64.57 | $144.54 |
12 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 Facility Modifier 52 · Reduced service Typical Low $27.54 Median $29.51 Typical High $29.51 | Facility | 52 · Reduced service | $27.54 | $29.51 | $29.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $11.75 | Facility | 53 · Discontinued | $11.22 | $11.75 | $11.75 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $77.62 Median $77.62 Typical High $83.18 | Facility | AF · Specialist physician | $77.62 | $77.62 | $83.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $57.54 Median $57.54 Typical High $63.10 | Facility | HO · Master's level | $57.54 | $57.54 | $63.10 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | TD · Registered nurse | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.84 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $11.22 | $11.75 | $11.75 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | 51 · Multiple procedures | $25.12 | $25.12 | $35.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $10.00 Typical High $14.45 | Professional | 80 · Assistant surgeon | $10.00 | $10.00 | $14.45 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | 81 · Minimal assistant surgeon | $7.08 | $7.08 | $10.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | 82 · Assistant surgeon, no resident | $7.08 | $7.08 | $10.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | AS · PA/NP assist | $7.08 | $7.08 | $10.00 |
Where North Carolina sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 26th of 51
$57.54
AK $110AZ $42.66
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.