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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,023.29 | Professional | None | $741.31 | $891.25 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,659.59 | Professional | None | $977.24 | $1,258.93 | $1,659.59 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,698.24 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,778.28 | Professional | None | $891.25 | $977.24 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,148.15 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,096.48 | Professional | None | $691.83 | $977.24 | $1,096.48 |
Oscar Health Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,778.28 | Professional | None | $812.83 | $1,445.44 | $1,778.28 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,737.80 | Professional | None | $794.33 | $1,000.00 | $1,737.80 |
6 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $831.76 Median $1,258.93 Typical High $1,258.93 | Professional | 25 · Same-day visit | $831.76 | $1,258.93 | $1,258.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $489.78 Typical High $630.96 | Professional | 51 · Multiple procedures | $346.74 | $489.78 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $194.98 Typical High $251.19 | Professional | 80 · Assistant surgeon | $141.25 | $194.98 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $134.90 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $97.72 | $134.90 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $134.90 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $134.90 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $134.90 Typical High $177.83 | Professional | AS · PA/NP assist | $97.72 | $134.90 | $177.83 |
Where North Carolina sits
The same service costs 2.9 times more in Alaska than in Florida. 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
$1,698
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.