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 $74.13 Median $74.13 Typical High $75.86 | Facility | None | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None | $74.13 | $74.13 | $75.86 |
BCBS North Carolina Setting Professional Modifier None Typical Low $38.90 Median $75.86 Typical High $109.65 | Professional | None | $38.90 | $75.86 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $162.18 | Professional | None | $63.10 | $97.72 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $85.11 Typical High $120.23 | Facility | None | $74.13 | $85.11 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $58.88 | Professional | None | $38.90 | $38.90 | $58.88 |
United Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $120.23 | Professional | None | $32.36 | $50.12 | $120.23 |
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 $37.15 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | 51 · Multiple procedures | $19.50 | $19.50 | $29.51 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $7.76 Typical High $11.75 | Professional | 80 · Assistant surgeon | $7.76 | $7.76 | $11.75 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $5.50 Typical High $8.32 | Professional | 81 · Minimal assistant surgeon | $5.50 | $5.50 | $8.32 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $5.50 Typical High $8.32 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $5.50 | $8.32 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $5.50 Typical High $8.32 | Professional | AS · PA/NP assist | $5.50 | $5.50 | $8.32 |
Where North Carolina sits
The same service costs 6.6 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· 27th 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.