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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $398.11 | Professional | None | $281.84 | $338.84 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $616.60 | Professional | None | $316.23 | $478.63 | $616.60 |
BCBS North Carolina Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $851.14 | Professional | None | $446.68 | $630.96 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $660.69 | Professional | None | $309.03 | $338.84 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | None | $398.11 | $398.11 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $416.87 | Professional | None | $263.03 | $371.54 | $416.87 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $676.08 | Professional | None | $309.03 | $549.54 | $676.08 |
United Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $645.65 | Professional | None | $302.00 | $380.19 | $645.65 |
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 $371.54 Median $478.63 Typical High $478.63 | Professional | 25 · Same-day visit | $371.54 | $478.63 | $478.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $131.83 Median $186.21 Typical High $245.47 | Professional | 51 · Multiple procedures | $131.83 | $186.21 | $245.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $74.13 Typical High $97.72 | Professional | 80 · Assistant surgeon | $52.48 | $74.13 | $97.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $52.48 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $37.15 | $52.48 | $69.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $52.48 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $52.48 | $69.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $52.48 Typical High $69.18 | Professional | AS · PA/NP assist | $37.15 | $52.48 | $69.18 |
Where North Carolina sits
The same service costs 3.4 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
$631
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.