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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $57.54 | Professional | None | $32.36 | $40.74 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $72.44 | Professional | None | $52.48 | $57.54 | $72.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $95.50 | Professional | None | $51.29 | $63.10 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $93.33 | Professional | None | $33.88 | $44.67 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $66.07 | Professional | None | $33.11 | $38.02 | $66.07 |
Oscar Health Setting Professional Modifier None Typical Low $36.31 Median $66.07 Typical High $81.28 | Professional | None | $36.31 | $66.07 | $81.28 |
United Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $81.28 | Professional | None | $33.11 | $44.67 | $81.28 |
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 $16.60 Median $19.05 Typical High $56.23 | Professional | 51 · Multiple procedures | $16.60 | $19.05 | $56.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.76 Median $7.59 Typical High $22.91 | Professional | 80 · Assistant surgeon | $6.76 | $7.59 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.68 Median $5.37 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $4.68 | $5.37 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.68 Median $5.37 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $4.68 | $5.37 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.68 Median $5.37 Typical High $15.85 | Professional | AS · PA/NP assist | $4.68 | $5.37 | $15.85 |
Where North Carolina sits
The same service costs 2.9 times more in Alaska than in New York. 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· 12th of 51
$58.88
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.