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 $40.74 Median $60.26 Typical High $79.43 | Facility | None | $40.74 | $60.26 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $79.43 | Professional | None | $40.74 | $60.26 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
BCBS North Carolina Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $72.44 | Professional | None | $28.18 | $46.77 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $112.20 | Professional | None | $46.77 | $72.44 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $41.69 Typical High $79.43 | Facility | None | $40.74 | $41.69 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | None | $47.86 | $50.12 | $72.44 |
United Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $107.15 | Professional | None | $40.74 | $61.66 | $107.15 |
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 $23.99 Median $25.12 Typical High $36.31 | Professional | 51 · Multiple procedures | $23.99 | $25.12 | $36.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $10.23 Typical High $14.45 | Professional | 80 · Assistant surgeon | $9.55 | $10.23 | $14.45 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $7.08 Typical High $10.23 | Professional | 81 · Minimal assistant surgeon | $6.76 | $7.08 | $10.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $7.08 Typical High $10.23 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $7.08 | $10.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $7.08 Typical High $10.23 | Professional | AS · PA/NP assist | $6.76 | $7.08 | $10.23 |
Where North Carolina sits
The same service costs 2.5 times more in North Dakota 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· 33rd of 51
$47.86
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.