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 $35.48 Median $35.48 Typical High $46.77 | Facility | None | $35.48 | $35.48 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | None | $35.48 | $35.48 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | 52 · Reduced service | $17.78 | $17.78 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS North Carolina Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $74.13 | Professional | None | $33.88 | $45.71 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $69.18 | Professional | None | $32.36 | $42.66 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $57.54 | Facility | None | $35.48 | $35.48 | $57.54 |
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 $28.18 Median $39.81 Typical High $75.86 | Professional | None | $28.18 | $39.81 | $75.86 |
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 3.5 times more in Alaska than in Kentucky. 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· 13th of 51
$45.71
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.