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 $20.89 Median $20.89 Typical High $128.82 | Facility | None | $20.89 | $20.89 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $58.88 | Professional | None | $40.74 | $53.70 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $41.69 | Professional | None | $19.05 | $21.88 | $41.69 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $60.26 | Facility | None | $20.89 | $20.89 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Oscar Health Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Oscar Health Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $19.95 Median $50.12 Typical High $128.82 | Professional | None | $19.95 | $50.12 | $128.82 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
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 51 · Multiple procedures Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 51 · Multiple procedures | $10.96 | $10.96 | $10.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 80 · Assistant surgeon | $4.37 | $4.37 | $4.37 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 81 · Minimal assistant surgeon | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 82 · Assistant surgeon, no resident | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | AS · PA/NP assist | $3.09 | $3.09 | $3.09 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
Where North Carolina sits
The same service costs 13.2 times more in North Carolina 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· 1st of 51
$53.70
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.