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 $20.42 Median $20.42 Typical High $23.99 | Facility | None | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | None | $16.60 | $20.42 | $20.42 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $19.05 | Professional | None | $14.13 | $14.79 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $38.02 | Facility | None | $20.42 | $22.91 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $21.38 | Facility | None | $20.42 | $20.42 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $33.11 | Professional | None | $0.34 | $0.34 | $33.11 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | None | $20.89 | $20.89 | $27.54 |
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 $30.20 | Professional | 51 · Multiple procedures | $0.17 | $0.17 | $30.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.07 Median $0.07 Typical High $12.02 | Professional | 80 · Assistant surgeon | $0.07 | $0.07 | $12.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.05 Median $0.05 Typical High $8.51 | Professional | 81 · Minimal assistant surgeon | $0.05 | $0.05 | $8.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.05 Median $0.05 Typical High $8.51 | Professional | 82 · Assistant surgeon, no resident | $0.05 | $0.05 | $8.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.05 Median $0.05 Typical High $8.51 | Professional | AS · PA/NP assist | $0.05 | $0.05 | $8.51 |
Where North Carolina sits
The same service costs 19.5 times more in New York than in Arkansas. 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· 45th of 51
$17.78
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.