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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | None | $61.66 | $61.66 | $93.33 |
BCBS North Carolina Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $398.11 | Professional | None | $147.91 | $257.04 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | None | $309.03 | $309.03 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $245.47 | Facility | None | $61.66 | $74.13 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $128.82 Typical High $154.88 | Professional | None | $63.10 | $128.82 | $154.88 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | None | $173.78 | $173.78 | $190.55 |
United Setting Professional Modifier None Typical Low $54.95 Median $114.82 Typical High $229.09 | Professional | None | $54.95 | $114.82 | $229.09 |
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 $31.62 Median $64.57 Typical High $77.62 | Professional | 51 · Multiple procedures | $31.62 | $64.57 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $25.70 Typical High $30.90 | Professional | 80 · Assistant surgeon | $12.88 | $25.70 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $17.78 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $8.91 | $17.78 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $17.78 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $17.78 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $17.78 Typical High $21.88 | Professional | AS · PA/NP assist | $8.91 | $17.78 | $21.88 |
Where North Carolina sits
The same service costs 3.2 times more in North Carolina than in New York. 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· 1st of 51
$240
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.