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 $25.12 Median $28.84 Typical High $28.84 | Facility | None | $25.12 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $28.84 | Professional | None | $23.44 | $25.12 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $41.69 | Professional | None | $29.51 | $41.69 | $41.69 |
BCBS North Carolina Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $72.44 | Professional | None | $37.15 | $54.95 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $56.23 | Professional | None | $30.90 | $33.88 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $28.84 Typical High $34.67 | Facility | None | $25.12 | $28.84 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $43.65 | Professional | None | $22.91 | $34.67 | $43.65 |
Oscar Health Setting Professional Modifier None Typical Low $24.55 Median $44.67 Typical High $66.07 | Professional | None | $24.55 | $44.67 | $66.07 |
United Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $46.77 | Professional | None | $24.55 | $29.51 | $46.77 |
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 $11.48 Median $16.98 Typical High $16.98 | Professional | 51 · Multiple procedures | $11.48 | $16.98 | $16.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.57 Median $6.92 Typical High $6.92 | Professional | 80 · Assistant surgeon | $4.57 | $6.92 | $6.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.16 Median $4.79 Typical High $4.79 | Professional | 81 · Minimal assistant surgeon | $3.16 | $4.79 | $4.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.16 Median $4.79 Typical High $4.79 | Professional | 82 · Assistant surgeon, no resident | $3.16 | $4.79 | $4.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.16 Median $4.79 Typical High $4.79 | Professional | AS · PA/NP assist | $3.16 | $4.79 | $4.79 |
Medcost Setting Professional Modifier CC · Code corrected Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | CC · Code corrected | $10.00 | $10.00 | $10.00 |
Medcost Setting Professional Modifier SC · Medically necessary Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | SC · Medically necessary | $25.12 | $25.12 | $25.12 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in New Jersey. 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· 2nd of 51
$54.95
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.