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 $54.95 Median $54.95 Typical High $128.82 | Facility | None | $54.95 | $54.95 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $45.71 | $54.95 | $54.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $91.20 | Facility | None | $64.57 | $64.57 | $91.20 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $40.74 | $48.98 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $87.10 | Professional | None (both parts) | $37.15 | $38.90 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $60.26 | Facility | None | $54.95 | $58.88 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.90 Median $48.98 Typical High $51.29 | Professional | None (both parts) | $30.90 | $48.98 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $64.57 | Professional | None (both parts) | $44.67 | $56.23 | $64.57 |
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 $12.30 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $19.50 | $25.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.49 Median $24.55 Typical High $25.70 | Professional | 51 · Multiple procedures | $15.49 | $24.55 | $25.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.17 Median $9.77 Typical High $10.23 | Professional | 80 · Assistant surgeon | $6.17 | $9.77 | $10.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.27 Median $6.92 Typical High $7.24 | Professional | 81 · Minimal assistant surgeon | $4.27 | $6.92 | $7.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.27 Median $6.92 Typical High $7.24 | Professional | 82 · Assistant surgeon, no resident | $4.27 | $6.92 | $7.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.27 Median $6.92 Typical High $7.24 | Professional | AS · PA/NP assist | $4.27 | $6.92 | $7.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $29.51 | $37.15 |
Where North Carolina sits
The same service costs 7.8 times more in Alaska than in Indiana. 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· 34th of 51
$48.98
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.