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 $70.79 Median $72.44 Typical High $72.44 | Facility | None | $70.79 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $74.13 | Professional | None | $60.26 | $70.79 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | None | $87.10 | $102.33 | $102.33 |
BCBS North Carolina Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $186.21 | Professional | None | $93.33 | $144.54 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $151.36 | Professional | None | $67.61 | $104.71 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $72.44 Typical High $89.13 | Facility | None | $70.79 | $72.44 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $83.18 | Professional | None | $56.23 | $83.18 | $83.18 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $123.03 Typical High $169.82 | Professional | None | $67.61 | $123.03 | $169.82 |
United Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $123.03 | Professional | None | $64.57 | $74.13 | $123.03 |
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 $30.20 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $30.20 | $35.48 | $36.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.18 Median $41.69 Typical High $41.69 | Professional | 51 · Multiple procedures | $28.18 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $16.60 Typical High $16.60 | Professional | 80 · Assistant surgeon | $11.22 | $16.60 | $16.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $11.75 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $7.76 | $11.75 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $11.75 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $11.75 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $11.75 Typical High $11.75 | Professional | AS · PA/NP assist | $7.76 | $11.75 | $11.75 |
Where North Carolina sits
The same service costs 3.0 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· 3rd of 51
$132
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.