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 $10.72 Median $10.72 Typical High $128.82 | Facility | None | $10.72 | $10.72 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None (both parts) | $10.72 | $10.72 | $10.72 |
BCBS North Carolina Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $19.05 | Facility | None | $13.18 | $13.18 | $19.05 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $9.12 Median $11.75 Typical High $22.91 | Professional | None (both parts) | $9.12 | $11.75 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.55 Median $9.55 Typical High $14.79 | Professional | None (both parts) | $9.55 | $9.55 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $10.72 Median $11.22 Typical High $60.26 | Facility | None | $10.72 | $11.22 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $10.00 Median $14.45 Typical High $21.88 | Professional | None (both parts) | $10.00 | $14.45 | $21.88 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $34.67 | $39.81 | $60.26 |
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 $4.79 Median $5.75 Typical High $8.71 | Professional | 26 · Professional part | $4.79 | $5.75 | $8.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5.01 Median $7.08 Typical High $10.96 | Professional | 51 · Multiple procedures | $5.01 | $7.08 | $10.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.00 Median $2.88 Typical High $4.37 | Professional | 80 · Assistant surgeon | $2.00 | $2.88 | $4.37 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.41 Median $2.00 Typical High $3.09 | Professional | 81 · Minimal assistant surgeon | $1.41 | $2.00 | $3.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.41 Median $2.00 Typical High $3.09 | Professional | 82 · Assistant surgeon, no resident | $1.41 | $2.00 | $3.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.41 Median $2.00 Typical High $3.09 | Professional | AS · PA/NP assist | $1.41 | $2.00 | $3.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.51 Typical High $13.18 | Professional | TC · Technical part | $7.24 | $8.51 | $13.18 |
Where North Carolina sits
The same service costs 10.5 times more in Colorado 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· 36th of 51
$10.96
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.