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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $173.78 | Professional | None | $61.66 | $63.10 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $144.54 | Professional | None | $67.61 | $77.62 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $109.65 | Facility | None | $67.61 | $74.13 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $83.18 | Professional | None | $52.48 | $63.10 | $83.18 |
United Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $151.36 | Professional | None | $54.95 | $64.57 | $151.36 |
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 $26.30 Median $31.62 Typical High $48.98 | Professional | 51 · Multiple procedures | $26.30 | $31.62 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.72 Median $12.88 Typical High $19.50 | Professional | 80 · Assistant surgeon | $10.72 | $12.88 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.41 Median $8.91 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $7.41 | $8.91 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.41 Median $8.91 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $7.41 | $8.91 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.41 Median $8.91 Typical High $13.80 | Professional | AS · PA/NP assist | $7.41 | $8.91 | $13.80 |
Where North Carolina sits
The same service costs 2.8 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· 44th of 51
$67.61
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.