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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | None | $22.91 | $26.30 | $26.30 |
BCBS North Carolina Setting Professional Modifier None Typical Low $31.62 Median $61.66 Typical High $87.10 | Professional | None | $31.62 | $61.66 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $31.62 | Facility | None | $22.39 | $26.30 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $30.20 | Professional | None | $18.20 | $28.84 | $30.20 |
United Setting Professional Modifier None Typical Low $45.71 Median $75.86 Typical High $107.15 | Professional | None | $45.71 | $75.86 | $107.15 |
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 $9.12 Median $14.45 Typical High $15.14 | Professional | 51 · Multiple procedures | $9.12 | $14.45 | $15.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.63 Median $5.75 Typical High $6.03 | Professional | 80 · Assistant surgeon | $3.63 | $5.75 | $6.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.51 Median $4.07 Typical High $4.27 | Professional | 81 · Minimal assistant surgeon | $2.51 | $4.07 | $4.27 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.51 Median $4.07 Typical High $4.27 | Professional | 82 · Assistant surgeon, no resident | $2.51 | $4.07 | $4.27 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.51 Median $4.07 Typical High $4.27 | Professional | AS · PA/NP assist | $2.51 | $4.07 | $4.27 |
Where North Carolina sits
The same service costs 9.3 times more in Texas 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· 15th of 51
$60.26
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.