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 $51.29 Median $51.29 Typical High $57.54 | Facility | None | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | None | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | 52 · Reduced service | $25.70 | $25.70 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $102.33 | Professional | None | $60.26 | $87.10 | $102.33 |
BCBS North Carolina Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $74.13 | Professional | None | $33.88 | $53.70 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $112.20 | Professional | None | $56.23 | $69.18 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Facility | None | $51.29 | $51.29 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | None | $44.67 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $112.20 | Professional | None | $51.29 | $69.18 | $112.20 |
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 $22.39 Median $22.91 Typical High $22.91 | Professional | 51 · Multiple procedures | $22.39 | $22.91 | $22.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $9.33 Typical High $9.33 | Professional | 80 · Assistant surgeon | $9.12 | $9.33 | $9.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 81 · Minimal assistant surgeon | $6.31 | $6.46 | $6.46 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $6.46 | $6.46 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | AS · PA/NP assist | $6.31 | $6.46 | $6.46 |
Where North Carolina sits
The same service costs 5.0 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· 33rd 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.