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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | None | $190.55 | $229.09 | $229.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $602.56 | Professional | None | $199.53 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $457.09 | Professional | None | $234.42 | $263.03 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $436.52 | Professional | None | $309.03 | $309.03 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $234.42 | Facility | None | $229.09 | $229.09 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $295.12 | Professional | None | $181.97 | $257.04 | $295.12 |
United Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $457.09 | Professional | None | $204.17 | $245.47 | $457.09 |
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 $91.20 Median $128.82 Typical High $147.91 | Professional | 51 · Multiple procedures | $91.20 | $128.82 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $51.29 Typical High $58.88 | Professional | 80 · Assistant surgeon | $36.31 | $51.29 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $36.31 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $25.12 | $36.31 | $40.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $36.31 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $36.31 | $40.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $36.31 Typical High $40.74 | Professional | AS · PA/NP assist | $25.12 | $36.31 | $40.74 |
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
$417
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.