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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $102.33 | Professional | None | $61.66 | $72.44 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $147.91 | Professional | None | $79.43 | $107.15 | $147.91 |
BCBS North Carolina Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $181.97 | Professional | None | $93.33 | $138.04 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $162.18 | Professional | None | $74.13 | $100.00 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $125.89 | Professional | None | $56.23 | $89.13 | $125.89 |
United Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | None | $69.18 | $91.20 | $144.54 |
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 $28.18 Median $44.67 Typical High $102.33 | Professional | 51 · Multiple procedures | $28.18 | $44.67 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $17.78 Typical High $40.74 | Professional | 80 · Assistant surgeon | $11.48 | $17.78 | $40.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.94 Median $12.59 Typical High $28.18 | Professional | 81 · Minimal assistant surgeon | $7.94 | $12.59 | $28.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $12.59 Typical High $28.18 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $12.59 | $28.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $12.59 Typical High $28.18 | Professional | AS · PA/NP assist | $7.94 | $12.59 | $28.18 |
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· 5th of 51
$138
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.