How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 |
|---|---|---|---|---|---|
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $95.50 | $125.89 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $229.09 | $309.03 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $239.88 | Professional | None | $44.67 | $44.67 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $97.72 | Professional | None (both parts) | $39.81 | $42.66 | $97.72 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.98 Typical High $47.86 | Professional | 26 · Professional part | $15.85 | $16.98 | $47.86 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $58.88 Median $63.10 Typical High $147.91 | Professional | 50 · Both sides | $58.88 | $63.10 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $21.38 Typical High $48.98 | Professional | 51 · Multiple procedures | $19.95 | $21.38 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $8.51 Typical High $19.50 | Professional | 80 · Assistant surgeon | $7.94 | $8.51 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $5.89 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $5.50 | $5.89 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $5.89 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $5.89 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $5.89 Typical High $13.80 | Professional | AS · PA/NP assist | $5.50 | $5.89 | $13.80 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $25.70 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | None (both parts) | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $95.50 | $134.90 | $165.96 |
Where North Carolina sits
The same service costs 20.0 times more in Tennessee than in Vermont. 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· 46th of 50
$42.66
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.