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 $54.95 Median $54.95 Typical High $91.20 | Facility | None | $54.95 | $54.95 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | None | $54.95 | $54.95 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
BCBS North Carolina Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $190.55 | Professional | None | $89.13 | $120.23 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $114.82 | Professional | None | $64.57 | $72.44 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | None | $91.20 | $91.20 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $63.10 | Facility | None | $54.95 | $54.95 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $117.49 | Professional | None | $41.69 | $61.66 | $117.49 |
Oscar Health Setting Facility Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Facility | None | $13,182.57 | $13,182.57 | $13,182.57 |
Oscar Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | None | $83.18 | $83.18 | $89.13 |
United Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $95.50 | Professional | None | $52.48 | $66.07 | $95.50 |
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 $20.89 Median $39.81 Typical High $58.88 | Professional | 51 · Multiple procedures | $20.89 | $39.81 | $58.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $15.85 Typical High $23.44 | Professional | 80 · Assistant surgeon | $8.32 | $15.85 | $23.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $10.96 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $5.89 | $10.96 | $16.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $10.96 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $10.96 | $16.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $10.96 Typical High $16.60 | Professional | AS · PA/NP assist | $5.89 | $10.96 | $16.60 |
Where North Carolina sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 3rd of 51
$120
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.