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 $123.03 Median $123.03 Typical High $223.87 | Facility | None | $123.03 | $123.03 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | None | $123.03 | $123.03 | $128.82 |
BCBS North Carolina Setting Professional Modifier None Typical Low $32.36 Median $75.86 Typical High $138.04 | Professional | None | $32.36 | $75.86 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $331.13 | Professional | None | $125.89 | $181.97 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $194.98 | Facility | None | $123.03 | $134.90 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $97.72 | Professional | None | $32.36 | $32.36 | $97.72 |
United Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $251.19 | Professional | None | $91.20 | $120.23 | $251.19 |
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 $61.66 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $24.55 | $24.55 | $25.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.85 Median $15.85 Typical High $47.86 | Professional | 51 · Multiple procedures | $15.85 | $15.85 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $6.46 Typical High $19.50 | Professional | 80 · Assistant surgeon | $6.46 | $6.46 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.47 Median $4.47 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $4.47 | $4.47 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.47 Median $4.47 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $4.47 | $4.47 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $4.47 Typical High $13.49 | Professional | AS · PA/NP assist | $4.47 | $4.47 | $13.49 |
Where North Carolina sits
The same service costs 21.4 times more in Alaska than in New York. 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· 47th of 51
$75.86
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.