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 $190.55 Median $269.15 Typical High $269.15 | Facility | None | $190.55 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | None | $181.97 | $218.78 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | None | $275.42 | $275.42 | $354.81 |
BCBS North Carolina Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $602.56 | Professional | None | $165.96 | $346.74 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $389.05 | Professional | None | $181.97 | $251.19 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $323.59 | Facility | None | $190.55 | $251.19 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | None | $223.87 | $263.03 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $616.60 | Professional | None | $186.21 | $331.13 | $616.60 |
United Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $354.81 | Professional | None | $169.82 | $229.09 | $354.81 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $95.50 Typical High $134.90 | Professional | 52 · Reduced service | $89.13 | $95.50 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $131.83 Typical High $131.83 | Professional | 51 · Multiple procedures | $112.20 | $131.83 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 80 · Assistant surgeon | $44.67 | $52.48 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $31.62 | $37.15 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $37.15 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | AS · PA/NP assist | $31.62 | $37.15 | $37.15 |
Where North Carolina sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 15th of 51
$295
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.