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 $14.45 Median $14.45 Typical High $128.82 | Facility | None | $14.45 | $14.45 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $14.45 | $14.45 | $14.45 |
BCBS North Carolina Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $26.30 | Facility | None | $18.62 | $18.62 | $26.30 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $15.85 Typical High $30.90 | Professional | None (both parts) | $12.30 | $15.85 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $12.88 Typical High $19.95 | Professional | None (both parts) | $12.88 | $12.88 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $15.49 Typical High $60.26 | Facility | None | $14.45 | $15.49 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $13.49 Median $19.50 Typical High $19.95 | Professional | None (both parts) | $13.49 | $19.50 | $19.95 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $34.67 | $50.12 | $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 $6.03 Median $7.76 Typical High $7.94 | Professional | 26 · Professional part | $6.03 | $7.76 | $7.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $6.61 Median $9.77 Typical High $10.00 | Professional | 51 · Multiple procedures | $6.61 | $9.77 | $10.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.69 Median $3.89 Typical High $3.98 | Professional | 80 · Assistant surgeon | $2.69 | $3.89 | $3.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.86 Median $2.75 Typical High $2.82 | Professional | 81 · Minimal assistant surgeon | $1.86 | $2.75 | $2.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.86 Median $2.75 Typical High $2.82 | Professional | 82 · Assistant surgeon, no resident | $1.86 | $2.75 | $2.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.86 Median $2.75 Typical High $2.82 | Professional | AS · PA/NP assist | $1.86 | $2.75 | $2.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $11.75 Typical High $12.02 | Professional | TC · Technical part | $8.91 | $11.75 | $12.02 |
Where North Carolina sits
The same service costs 7.6 times more in North Dakota than in Virginia. 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· 37th of 51
$14.45
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.