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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $12.59 | Professional | None | $10.72 | $12.59 | $12.59 |
BCBS North Carolina Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $38.02 | Professional | None | $18.20 | $25.12 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $15.14 | Facility | None | $12.59 | $12.59 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $13.49 | Professional | None | $8.71 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $13.80 Median $33.11 Typical High $40.74 | Professional | None | $13.80 | $33.11 | $40.74 |
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 $4.37 Median $6.76 Typical High $6.76 | Professional | 51 · Multiple procedures | $4.37 | $6.76 | $6.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.74 Median $2.69 Typical High $2.69 | Professional | 80 · Assistant surgeon | $1.74 | $2.69 | $2.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.20 Median $1.91 Typical High $1.91 | Professional | 81 · Minimal assistant surgeon | $1.20 | $1.91 | $1.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.20 Median $1.91 Typical High $1.91 | Professional | 82 · Assistant surgeon, no resident | $1.20 | $1.91 | $1.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.20 Median $1.91 Typical High $1.91 | Professional | AS · PA/NP assist | $1.20 | $1.91 | $1.91 |
Where North Carolina sits
The same service costs 12.3 times more in Missouri 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· 17th of 51
$22.91
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.