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 $26.92 Median $26.92 Typical High $128.82 | Facility | None | $26.92 | $26.92 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | None (both parts) | $22.39 | $26.92 | $26.92 |
BCBS North Carolina Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $45.71 | Facility | None | $31.62 | $33.88 | $45.71 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $24.55 Typical High $48.98 | Professional | None (both parts) | $20.42 | $24.55 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $22.39 Typical High $46.77 | Professional | None (both parts) | $20.89 | $22.39 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $37.15 Typical High $60.26 | Facility | None | $26.92 | $37.15 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $33.11 | Professional | None (both parts) | $25.12 | $28.84 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $33.11 | Professional | None (both parts) | $23.99 | $28.84 | $33.11 |
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 $10.47 Median $11.48 Typical High $13.18 | Professional | 26 · Professional part | $10.47 | $11.48 | $13.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.59 Median $14.45 Typical High $16.60 | Professional | 51 · Multiple procedures | $12.59 | $14.45 | $16.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.01 Median $5.75 Typical High $6.61 | Professional | 80 · Assistant surgeon | $5.01 | $5.75 | $6.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.47 Median $3.98 Typical High $4.57 | Professional | 81 · Minimal assistant surgeon | $3.47 | $3.98 | $4.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.47 Median $3.98 Typical High $4.57 | Professional | 82 · Assistant surgeon, no resident | $3.47 | $3.98 | $4.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.47 Median $3.98 Typical High $4.57 | Professional | AS · PA/NP assist | $3.47 | $3.98 | $4.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.38 Typical High $19.95 | Professional | TC · Technical part | $15.49 | $17.38 | $19.95 |
Where North Carolina sits
The same service costs 3.3 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· 41st of 51
$25.12
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.