How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $29.51 Median $42.66 Typical High $56.23 | Facility | None | $29.51 | $42.66 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $42.66 Typical High $56.23 | Professional | None | $29.51 | $42.66 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $69.18 | Professional | None | $30.20 | $43.65 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $89.13 | Professional | None | $36.31 | $53.70 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $44.67 Typical High $56.23 | Facility | None | $29.51 | $44.67 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $52.48 | Professional | None | $35.48 | $37.15 | $52.48 |
Oscar Health Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $52.48 | Professional | None | $41.69 | $48.98 | $52.48 |
United Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $74.13 | Professional | None | $31.62 | $48.98 | $74.13 |
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 $14.79 Median $17.78 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $17.78 | $21.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $18.62 Typical High $26.30 | Professional | 51 · Multiple procedures | $17.78 | $18.62 | $26.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $7.41 Typical High $10.47 | Professional | 80 · Assistant surgeon | $7.08 | $7.41 | $10.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.13 Typical High $7.41 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.13 | $7.41 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.13 Typical High $7.41 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.13 | $7.41 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.13 Typical High $7.41 | Professional | AS · PA/NP assist | $5.01 | $5.13 | $7.41 |
Where North Carolina sits
The same service costs 2.6 times more in North Dakota than in Oklahoma. 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· 20th of 51
$43.65
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.