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 $31.62 Median $33.88 Typical High $33.88 | Facility | None | $31.62 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $39.81 | Professional | None | $31.62 | $33.88 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
BCBS North Carolina Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $117.49 | Professional | None | $28.84 | $44.67 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $74.13 | Professional | None | $34.67 | $36.31 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $72.44 | Professional | None | $48.98 | $48.98 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $33.88 Typical High $40.74 | Facility | None | $31.62 | $33.88 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $42.66 | Professional | None | $26.30 | $40.74 | $42.66 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $32.36 | Professional | None | $26.30 | $30.90 | $32.36 |
United Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $58.88 | Professional | None | $30.90 | $37.15 | $58.88 |
5 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 $13.18 Median $20.42 Typical High $21.38 | Professional | 51 · Multiple procedures | $13.18 | $20.42 | $21.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.25 Median $8.13 Typical High $8.51 | Professional | 80 · Assistant surgeon | $5.25 | $8.13 | $8.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.72 Median $5.62 Typical High $6.03 | Professional | 81 · Minimal assistant surgeon | $3.72 | $5.62 | $6.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.72 Median $5.62 Typical High $6.03 | Professional | 82 · Assistant surgeon, no resident | $3.72 | $5.62 | $6.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.72 Median $5.62 Typical High $6.03 | Professional | AS · PA/NP assist | $3.72 | $5.62 | $6.03 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in New York. 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· 22nd of 51
$41.69
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.