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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | None | $32.36 | $33.11 | $33.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $44.67 | Professional | None | $32.36 | $33.11 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $70.79 | Facility | None | $38.02 | $42.66 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $35.48 | Facility | None | $33.11 | $33.11 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $58.88 | Professional | None | $23.99 | $36.31 | $58.88 |
Oscar Health Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | None | $32.36 | $32.36 | $42.66 |
7 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 $16.22 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.61 | $6.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.98 Median $18.20 Typical High $117.49 | Professional | 51 · Multiple procedures | $0.98 | $18.20 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.79 Median $7.24 Typical High $47.86 | Professional | 80 · Assistant surgeon | $4.79 | $7.24 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.68 Median $5.01 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $4.68 | $5.01 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.68 Median $5.01 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $4.68 | $5.01 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.68 Median $5.01 Typical High $33.11 | Professional | AS · PA/NP assist | $4.68 | $5.01 | $33.11 |
Where North Carolina sits
The same service costs 3.5 times more in Montana than in North Dakota. 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· 35th of 51
$33.11
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.