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 $46.77 Median $70.79 Typical High $70.79 | Facility | None | $46.77 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | None | $67.61 | $70.79 | $70.79 |
BCBS North Carolina Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $54.95 | Professional | None | $41.69 | $43.65 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $151.36 | Facility | None | $81.28 | $91.20 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Facility | None | $70.79 | $70.79 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $112.20 | Professional | None | $33.11 | $43.65 | $112.20 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | None | $79.43 | $79.43 | $104.71 |
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 $33.88 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.88 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1.95 Median $21.88 Typical High $89.13 | Professional | 51 · Multiple procedures | $1.95 | $21.88 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.78 Median $8.71 Typical High $35.48 | Professional | 80 · Assistant surgeon | $0.78 | $8.71 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.54 Median $6.17 Typical High $25.12 | Professional | 81 · Minimal assistant surgeon | $0.54 | $6.17 | $25.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.54 Median $6.17 Typical High $25.12 | Professional | 82 · Assistant surgeon, no resident | $0.54 | $6.17 | $25.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.54 Median $6.17 Typical High $25.12 | Professional | AS · PA/NP assist | $0.54 | $6.17 | $25.12 |
Where North Carolina sits
The same service costs 2.5 times more in Kansas than in Indiana. 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· 43rd of 51
$70.79
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.