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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | None | $28.84 | $33.11 | $33.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $77.62 | Professional | None | $31.62 | $45.71 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $57.54 | Facility | None | $33.11 | $39.81 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $54.95 | Professional | None | $27.54 | $28.84 | $54.95 |
United Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $39.81 | Professional | None | $37.15 | $38.90 | $39.81 |
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 $13.80 Median $14.45 Typical High $44.67 | Professional | 51 · Multiple procedures | $13.80 | $14.45 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $5.75 Typical High $17.78 | Professional | 80 · Assistant surgeon | $5.50 | $5.75 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $3.98 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $3.89 | $3.98 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $3.98 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $3.98 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $3.98 Typical High $12.59 | Professional | AS · PA/NP assist | $3.89 | $3.98 | $12.59 |
Where North Carolina sits
The same service costs 12.6 times more in Texas than in New Jersey. 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· 20th of 51
$41.69
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.