How much rates vary
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 $81.28 Median $93.33 Typical High $123.03 | Facility | None | $81.28 | $93.33 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $125.89 | Professional | None | $81.28 | $95.50 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $190.55 | Professional | None | $50.12 | $58.88 | $190.55 |
BCBS North Carolina Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $104.71 | Professional | None | $60.26 | $77.62 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $112.20 | Professional | None | $66.07 | $97.72 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $85.11 Typical High $134.90 | Facility | None | $81.28 | $85.11 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $120.23 | Professional | None | $66.07 | $77.62 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $134.90 | Professional | None | $89.13 | $89.13 | $134.90 |
United Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $158.49 | Professional | None | $85.11 | $89.13 | $158.49 |
8 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 AF · Specialist physician Typical Low $125.89 Median $125.89 Typical High $141.25 | Facility | AF · Specialist physician | $125.89 | $125.89 | $141.25 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | HO · Master's level | $95.50 | $95.50 | $104.71 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $107.15 Median $107.15 Typical High $120.23 | Facility | TD · Registered nurse | $107.15 | $107.15 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $38.90 Typical High $60.26 | Professional | 51 · Multiple procedures | $32.36 | $38.90 | $60.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $15.49 Typical High $24.55 | Professional | 80 · Assistant surgeon | $13.18 | $15.49 | $24.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $10.96 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $9.12 | $10.96 | $16.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $10.96 Typical High $16.98 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $10.96 | $16.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $10.96 Typical High $16.98 | Professional | AS · PA/NP assist | $9.12 | $10.96 | $16.98 |
Where North Carolina sits
The same service costs 2.2 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· 43rd of 51
$81.28
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.