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 $43.65 Median $43.65 Typical High $102.33 | Facility | None | $43.65 | $43.65 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | None | $43.65 | $43.65 | $45.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $123.03 | Professional | None | $46.77 | $75.86 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $134.90 | Professional | None | $44.67 | $64.57 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $69.18 | Facility | None | $43.65 | $48.98 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $52.48 | Professional | None | $33.88 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $97.72 | Professional | None | $37.15 | $45.71 | $97.72 |
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 $21.88 Median $21.88 Typical High $22.91 | Professional | 52 · Reduced service | $21.88 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.98 Median $26.30 Typical High $33.11 | Professional | 51 · Multiple procedures | $16.98 | $26.30 | $33.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.92 Median $10.47 Typical High $13.49 | Professional | 80 · Assistant surgeon | $6.92 | $10.47 | $13.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.79 Median $7.41 Typical High $9.33 | Professional | 81 · Minimal assistant surgeon | $4.79 | $7.41 | $9.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.79 Median $7.41 Typical High $9.33 | Professional | 82 · Assistant surgeon, no resident | $4.79 | $7.41 | $9.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.79 Median $7.41 Typical High $9.33 | Professional | AS · PA/NP assist | $4.79 | $7.41 | $9.33 |
Where North Carolina sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 13th of 51
$64.57
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.