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 $63.10 Median $63.10 Typical High $107.15 | Facility | None | $63.10 | $63.10 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $91.20 | Professional | None | $63.10 | $63.10 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $67.61 | Professional | None | $48.98 | $57.54 | $67.61 |
BCBS North Carolina Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $223.87 | Professional | None | $102.33 | $134.90 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $131.83 | Professional | None | $74.13 | $85.11 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Facility | None | $63.10 | $63.10 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $141.25 | Professional | None | $48.98 | $72.44 | $141.25 |
Oscar Health Setting Facility Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Facility | None | $18,620.87 | $18,620.87 | $18,620.87 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | None | $97.72 | $97.72 | $107.15 |
United Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $109.65 | Professional | None | $58.88 | $75.86 | $109.65 |
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 $24.55 Median $42.66 Typical High $69.18 | Professional | 51 · Multiple procedures | $24.55 | $42.66 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.77 Median $16.98 Typical High $28.18 | Professional | 80 · Assistant surgeon | $9.77 | $16.98 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $11.75 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $6.76 | $11.75 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $11.75 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $11.75 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $11.75 Typical High $19.50 | Professional | AS · PA/NP assist | $6.76 | $11.75 | $19.50 |
Where North Carolina sits
The same service costs 3.0 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· 3rd of 51
$135
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.