How much rates vary
Facilitymedian $129 · 10th to 90th $105 to $170Professionalmedian $112 · 10th to 90th $83 to $155
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 $104.71 Median $128.82 Typical High $169.82 | Facility | None | $104.71 | $128.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $169.82 | Professional | None | $104.71 | $128.82 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $263.03 | Professional | None | $79.43 | $107.15 | $263.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $138.04 | Professional | None | $83.18 | $107.15 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $144.54 | Professional | None | $91.20 | $134.90 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $173.78 | Facility | None | $104.71 | $114.82 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | None | $109.65 | $109.65 | $154.88 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $181.97 | Professional | None | $123.03 | $123.03 | $181.97 |
United Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $213.80 | Professional | None | $107.15 | $123.03 | $213.80 |
15 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 $52.48 Median $64.57 Typical High $64.57 | Facility | 52 · Reduced service | $52.48 | $64.57 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $25.70 | Facility | 53 · Discontinued | $20.89 | $25.70 | $25.70 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $169.82 Median $169.82 Typical High $181.97 | Facility | AF · Specialist physician | $169.82 | $169.82 | $181.97 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $125.89 Median $125.89 Typical High $138.04 | Facility | HO · Master's level | $125.89 | $125.89 | $138.04 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $144.54 Median $144.54 Typical High $154.88 | Facility | TD · Registered nurse | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $57.54 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $22.91 | $25.70 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $162.18 Median $169.82 Typical High $181.97 | Professional | AF · Specialist physician | $162.18 | $169.82 | $181.97 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $123.03 Median $125.89 Typical High $138.04 | Professional | HO · Master's level | $123.03 | $125.89 | $138.04 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $138.04 Median $144.54 Typical High $154.88 | Professional | TD · Registered nurse | $138.04 | $144.54 | $154.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | 51 · Multiple procedures | $54.95 | $54.95 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | 80 · Assistant surgeon | $21.88 | $21.88 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $15.14 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $15.14 | $15.14 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $15.14 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $15.14 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $15.14 Typical High $21.88 | Professional | AS · PA/NP assist | $15.14 | $15.14 | $21.88 |
Where North Carolina sits
The same service costs 2.3 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· 40th of 51
$112
AK $224KY $95.50
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.