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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | None | $22.91 | $22.91 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $33.88 | Professional | None | $16.98 | $23.99 | $33.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $58.88 | Professional | None | $21.88 | $26.92 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $53.70 | Professional | None | $17.38 | $20.89 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | None | $22.39 | $22.39 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $60.26 | Facility | None | $22.91 | $27.54 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $33.11 | Professional | None | $19.50 | $21.88 | $33.11 |
United Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $48.98 | Professional | None | $16.22 | $20.89 | $48.98 |
7 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 Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $9.77 Median $10.96 Typical High $16.60 | Professional | 51 · Multiple procedures | $9.77 | $10.96 | $16.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.89 Median $4.37 Typical High $6.61 | Professional | 80 · Assistant surgeon | $3.89 | $4.37 | $6.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.69 Median $3.09 Typical High $4.68 | Professional | 81 · Minimal assistant surgeon | $2.69 | $3.09 | $4.68 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.69 Median $3.09 Typical High $4.68 | Professional | 82 · Assistant surgeon, no resident | $2.69 | $3.09 | $4.68 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.69 Median $3.09 Typical High $4.68 | Professional | AS · PA/NP assist | $2.69 | $3.09 | $4.68 |
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· 34th of 51
$25.70
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.