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 $34.67 Median $34.67 Typical High $46.77 | Facility | None | $34.67 | $34.67 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $46.77 | Professional | None | $34.67 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $18.62 Typical High $23.44 | Professional | 52 · Reduced service | $17.38 | $18.62 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | None | $43.65 | $51.29 | $51.29 |
BCBS North Carolina Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $64.57 | Professional | None | $24.55 | $41.69 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $83.18 | Professional | None | $39.81 | $56.23 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $61.66 | Facility | None | $34.67 | $36.31 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $89.13 | Professional | None | $35.48 | $51.29 | $89.13 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 51 · Multiple procedures | $18.20 | $18.20 | $18.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 80 · Assistant surgeon | $7.24 | $7.24 | $7.24 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 81 · Minimal assistant surgeon | $5.13 | $5.13 | $5.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 82 · Assistant surgeon, no resident | $5.13 | $5.13 | $5.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | AS · PA/NP assist | $5.13 | $5.13 | $5.13 |
Where North Carolina sits
The same service costs 4.1 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· 31st 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.