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 $56.23 Median $56.23 Typical High $67.61 | Facility | None | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | None | $53.70 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | None | $63.10 | $63.10 | $79.43 |
BCBS North Carolina Setting Professional Modifier None Typical Low $38.02 Median $38.90 Typical High $51.29 | Professional | None | $38.02 | $38.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $72.44 Typical High $120.23 | Facility | None | $63.10 | $72.44 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Facility | None | $56.23 | $56.23 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $89.13 | Professional | None | $64.57 | $85.11 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | None | $56.23 | $56.23 | $87.10 |
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 $1.45 Median $42.66 Typical High $81.28 | Professional | 51 · Multiple procedures | $1.45 | $42.66 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $16.98 Typical High $33.11 | Professional | 80 · Assistant surgeon | $12.88 | $16.98 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $12.02 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $9.12 | $12.02 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $12.02 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $12.02 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $12.02 Typical High $22.91 | Professional | AS · PA/NP assist | $9.12 | $12.02 | $22.91 |
Where North Carolina sits
The same service costs 1.7 times more in Nebraska than in Maryland. 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· 36th of 51
$56.23
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.