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 $8.71 Median $14.45 Typical High $14.45 | Facility | None | $8.71 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $14.45 | Professional | None | $8.71 | $10.96 | $14.45 |
BCBS Setting Professional Modifier None Typical Low $7.76 Median $17.38 Typical High $26.30 | Professional | None | $7.76 | $17.38 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $26.92 | Professional | None | $10.00 | $16.60 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $8.71 Median $9.33 Typical High $14.45 | Facility | None | $8.71 | $9.33 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $16.60 | Professional | None | $11.75 | $11.75 | $16.60 |
United Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $24.55 | Professional | None | $8.51 | $14.45 | $24.55 |
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 $5.89 Median $5.89 Typical High $8.32 | Professional | 51 · Multiple procedures | $5.89 | $5.89 | $8.32 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.34 Median $2.34 Typical High $3.31 | Professional | 80 · Assistant surgeon | $2.34 | $2.34 | $3.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.62 Median $1.62 Typical High $2.34 | Professional | 81 · Minimal assistant surgeon | $1.62 | $1.62 | $2.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.62 Median $1.62 Typical High $2.34 | Professional | 82 · Assistant surgeon, no resident | $1.62 | $1.62 | $2.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.62 Median $1.62 Typical High $2.34 | Professional | AS · PA/NP assist | $1.62 | $1.62 | $2.34 |
Where North Carolina sits
The same service costs 2.8 times more in Minnesota than in Kentucky. 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· 18th of 51
$14.45
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.