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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $346.74 | Professional | None | $275.42 | $331.13 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $812.83 | Professional | None | $457.09 | $691.83 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $660.69 | Professional | None | $323.59 | $354.81 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $630.96 | Professional | None | $416.87 | $416.87 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $354.81 | Facility | None | $331.13 | $331.13 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $398.11 | Professional | None | $263.03 | $354.81 | $398.11 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $707.95 | Professional | None | $316.23 | $575.44 | $707.95 |
United Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $645.65 | Professional | None | $302.00 | $346.74 | $645.65 |
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 $131.83 Median $173.78 Typical High $239.88 | Professional | 51 · Multiple procedures | $131.83 | $173.78 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $70.79 Typical High $95.50 | Professional | 80 · Assistant surgeon | $52.48 | $70.79 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $48.98 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $36.31 | $48.98 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $48.98 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $48.98 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $48.98 Typical High $66.07 | Professional | AS · PA/NP assist | $36.31 | $48.98 | $66.07 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$646
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.