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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $169.82 | Professional | None | $117.49 | $141.25 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
BCBS North Carolina Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $354.81 | Professional | None | $190.55 | $275.42 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $281.84 | Professional | None | $147.91 | $162.18 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | None | $186.21 | $186.21 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $181.97 | Professional | None | $125.89 | $162.18 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $281.84 | Professional | None | $128.82 | $229.09 | $281.84 |
United Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $275.42 | Professional | None | $125.89 | $162.18 | $275.42 |
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 $74.13 Median $81.28 Typical High $91.20 | Professional | 51 · Multiple procedures | $74.13 | $81.28 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $32.36 Typical High $36.31 | Professional | 80 · Assistant surgeon | $29.51 | $32.36 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $20.89 | $22.91 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $22.91 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $22.91 Typical High $25.70 | Professional | AS · PA/NP assist | $20.89 | $22.91 | $25.70 |
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· 6th of 51
$257
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.