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 $91.20 Median $128.82 Typical High $131.83 | Facility | None | $91.20 | $128.82 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $128.82 | Professional | None | $91.20 | $91.20 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | 52 · Reduced service | $44.67 | $44.67 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | None | $120.23 | $138.04 | $138.04 |
BCBS North Carolina Setting Professional Modifier None Typical Low $61.66 Median $109.65 Typical High $169.82 | Professional | None | $61.66 | $109.65 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $186.21 | Professional | None | $72.44 | $102.33 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $162.18 | Facility | None | $91.20 | $91.20 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $102.33 | Professional | None | $63.10 | $63.10 | $102.33 |
United Setting Professional Modifier None Typical Low $51.29 Median $95.50 Typical High $208.93 | Professional | None | $51.29 | $95.50 | $208.93 |
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 $31.62 Median $31.62 Typical High $51.29 | Professional | 51 · Multiple procedures | $31.62 | $31.62 | $51.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $12.59 Typical High $20.42 | Professional | 80 · Assistant surgeon | $12.59 | $12.59 | $20.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $8.71 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $8.71 | $8.71 | $14.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $8.71 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $8.71 | $14.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $8.71 Typical High $14.45 | Professional | AS · PA/NP assist | $8.71 | $8.71 | $14.45 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska 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· 25th of 51
$102
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.