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 $4.79 Median $5.75 Typical High $107.15 | Facility | None | $4.79 | $5.75 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4.79 Median $4.79 Typical High $7.41 | Professional | None (both parts) | $4.79 | $4.79 | $7.41 |
BCBS North Carolina Setting Facility Modifier None Typical Low $5.62 Median $7.94 Typical High $14.13 | Facility | None | $5.62 | $7.94 | $14.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $3.98 Median $5.13 Typical High $14.79 | Professional | None (both parts) | $3.98 | $5.13 | $14.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4.79 Median $5.13 Typical High $10.23 | Professional | None (both parts) | $4.79 | $5.13 | $10.23 |
Medcost Setting Facility Modifier None Typical Low $4.79 Median $6.76 Typical High $60.26 | Facility | None | $4.79 | $6.76 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $4.37 Median $8.51 Typical High $12.88 | Professional | None (both parts) | $4.37 | $8.51 | $12.88 |
United Setting Professional Modifier None (both parts) Typical Low $5.01 Median $6.76 Typical High $10.96 | Professional | None (both parts) | $5.01 | $6.76 | $10.96 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $2.14 Median $3.39 Typical High $5.25 | Professional | 26 · Professional part | $2.14 | $3.39 | $5.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.19 Median $4.27 Typical High $6.76 | Professional | 51 · Multiple procedures | $2.19 | $4.27 | $6.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.87 Median $1.70 Typical High $2.69 | Professional | 80 · Assistant surgeon | $0.87 | $1.70 | $2.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.62 Median $1.17 Typical High $1.86 | Professional | 81 · Minimal assistant surgeon | $0.62 | $1.17 | $1.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.62 Median $1.17 Typical High $1.86 | Professional | 82 · Assistant surgeon, no resident | $0.62 | $1.17 | $1.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.62 Median $1.17 Typical High $1.86 | Professional | AS · PA/NP assist | $0.62 | $1.17 | $1.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $5.01 Typical High $7.76 | Professional | TC · Technical part | $3.16 | $5.01 | $7.76 |
Where North Carolina sits
The same service costs 2.6 times more in North Dakota 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· 49th of 51
$5.13
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.