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 $131.83 Median $138.04 Typical High $218.78 | Facility | None | $131.83 | $138.04 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $218.78 | Professional | None | $131.83 | $131.83 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $186.21 | Professional | None | $97.72 | $114.82 | $186.21 |
BCBS North Carolina Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $489.78 | Professional | None | $208.93 | $269.15 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $269.15 | Professional | None | $151.36 | $173.78 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $281.84 | Professional | None | $218.78 | $218.78 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $147.91 | Facility | None | $131.83 | $131.83 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $269.15 | Professional | None | $144.54 | $173.78 | $269.15 |
Oscar Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | None | $74.13 | $74.13 | $81.28 |
United Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $223.87 | Professional | None | $123.03 | $154.88 | $223.87 |
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 $70.79 Median $97.72 Typical High $138.04 | Professional | 51 · Multiple procedures | $70.79 | $97.72 | $138.04 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.84 Median $38.90 Typical High $54.95 | Professional | 80 · Assistant surgeon | $28.84 | $38.90 | $54.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $27.54 Typical High $38.90 | Professional | 81 · Minimal assistant surgeon | $19.95 | $27.54 | $38.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $27.54 Typical High $38.90 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $27.54 | $38.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $27.54 Typical High $38.90 | Professional | AS · PA/NP assist | $19.95 | $27.54 | $38.90 |
Where North Carolina sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 6th of 51
$263
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.