How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $27.54 | Professional | None | $21.38 | $25.12 | $27.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $72.44 | Professional | None | $30.20 | $54.95 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $25.12 Typical High $32.36 | Facility | None | $21.38 | $25.12 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $28.84 | Professional | None | $17.38 | $26.92 | $28.84 |
Oscar Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $70.79 | Professional | None | $45.71 | $52.48 | $70.79 |
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 $8.71 Median $13.49 Typical High $14.45 | Professional | 51 · Multiple procedures | $8.71 | $13.49 | $14.45 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.47 Median $5.37 Typical High $5.75 | Professional | 80 · Assistant surgeon | $3.47 | $5.37 | $5.75 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.45 Median $3.80 Typical High $4.07 | Professional | 81 · Minimal assistant surgeon | $2.45 | $3.80 | $4.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.45 Median $3.80 Typical High $4.07 | Professional | 82 · Assistant surgeon, no resident | $2.45 | $3.80 | $4.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.45 Median $3.80 Typical High $4.07 | Professional | AS · PA/NP assist | $2.45 | $3.80 | $4.07 |
Where North Carolina sits
The same service costs 5.1 times more in Minnesota than in West Virginia. 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· 7th of 51
$54.95
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.