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 $12.02 Median $12.02 Typical High $128.82 | Facility | None | $12.02 | $12.02 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | None (both parts) | $10.96 | $12.02 | $12.02 |
BCBS North Carolina Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $19.95 | Facility | None | $14.13 | $14.13 | $19.95 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $9.33 Median $12.02 Typical High $25.12 | Professional | None (both parts) | $9.33 | $12.02 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.96 Median $11.48 Typical High $21.38 | Professional | None (both parts) | $10.96 | $11.48 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $60.26 | Facility | None | $12.02 | $15.85 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $11.22 Median $16.22 Typical High $19.95 | Professional | None (both parts) | $11.22 | $16.22 | $19.95 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $14.79 Typical High $17.38 | Professional | None (both parts) | $12.30 | $14.79 | $17.38 |
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 $5.50 Median $6.46 Typical High $7.94 | Professional | 26 · Professional part | $5.50 | $6.46 | $7.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5.62 Median $7.94 Typical High $10.00 | Professional | 51 · Multiple procedures | $5.62 | $7.94 | $10.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.24 Median $3.24 Typical High $3.98 | Professional | 80 · Assistant surgeon | $2.24 | $3.24 | $3.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.58 Median $2.24 Typical High $2.82 | Professional | 81 · Minimal assistant surgeon | $1.58 | $2.24 | $2.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.58 Median $2.24 Typical High $2.82 | Professional | 82 · Assistant surgeon, no resident | $1.58 | $2.24 | $2.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.58 Median $2.24 Typical High $2.82 | Professional | AS · PA/NP assist | $1.58 | $2.24 | $2.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $9.55 Typical High $12.02 | Professional | TC · Technical part | $8.13 | $9.55 | $12.02 |
Where North Carolina sits
The same service costs 2.7 times more in Alaska than in Ohio. 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
$12.02
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.