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 $61.66 Median $69.18 Typical High $69.18 | Facility | None | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | None | $61.66 | $69.18 | $69.18 |
BCBS North Carolina Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $138.04 | Professional | None | $53.70 | $75.86 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $112.20 | Professional | None | $48.98 | $53.70 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $74.13 | Facility | None | $61.66 | $69.18 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | None | $56.23 | $60.26 | $85.11 |
Oscar Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
United Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | None | $48.98 | $48.98 | $67.61 |
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 $28.18 Median $30.20 Typical High $42.66 | Professional | 51 · Multiple procedures | $28.18 | $30.20 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $12.02 Typical High $17.38 | Professional | 80 · Assistant surgeon | $11.22 | $12.02 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $8.51 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $7.76 | $8.51 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $8.51 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $8.51 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $8.51 Typical High $12.02 | Professional | AS · PA/NP assist | $7.76 | $8.51 | $12.02 |
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· 22nd of 51
$69.18
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.