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 $1.29 Median $1.29 Typical High $1.29 | Facility | None | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier None Typical Low $1.15 Median $1.29 Typical High $1.29 | Professional | None | $1.15 | $1.29 | $1.29 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.89 Median $0.93 Typical High $1.20 | Professional | None | $0.89 | $0.93 | $1.20 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $1.45 Typical High $2.40 | Facility | None | $1.29 | $1.45 | $2.40 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Medcost Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $1.35 | Facility | None | $1.29 | $1.29 | $1.35 |
Medcost Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $2.14 | Professional | None | $0.34 | $0.34 | $2.14 |
United Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
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 $0.17 Median $0.17 Typical High $1.55 | Professional | 51 · Multiple procedures | $0.17 | $0.17 | $1.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.07 Median $0.07 Typical High $0.62 | Professional | 80 · Assistant surgeon | $0.07 | $0.07 | $0.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.05 Median $0.05 Typical High $0.43 | Professional | 81 · Minimal assistant surgeon | $0.05 | $0.05 | $0.43 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.05 Median $0.05 Typical High $0.43 | Professional | 82 · Assistant surgeon, no resident | $0.05 | $0.05 | $0.43 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.05 Median $0.05 Typical High $0.43 | Professional | AS · PA/NP assist | $0.05 | $0.05 | $0.43 |
Where North Carolina sits
The same service costs 208.9 times more in Massachusetts than in Ohio. 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· 49th of 51
$1.12
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.