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 $31.62 Median $34.67 Typical High $41.69 | Facility | None | $31.62 | $34.67 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | None | $31.62 | $33.11 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
BCBS North Carolina Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $41.69 | Professional | None | $22.39 | $30.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $47.86 | Professional | None | $34.67 | $34.67 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $45.71 | Professional | None | $33.88 | $42.66 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $34.67 | Facility | None | $31.62 | $33.11 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $30.90 | Professional | None | $21.38 | $23.44 | $30.90 |
United Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $67.61 | Professional | None | $26.92 | $35.48 | $67.61 |
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 $10.72 Median $11.75 Typical High $15.49 | Professional | 51 · Multiple procedures | $10.72 | $11.75 | $15.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.37 Median $4.68 Typical High $6.17 | Professional | 80 · Assistant surgeon | $4.37 | $4.68 | $6.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.02 Median $3.31 Typical High $4.37 | Professional | 81 · Minimal assistant surgeon | $3.02 | $3.31 | $4.37 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.02 Median $3.31 Typical High $4.37 | Professional | 82 · Assistant surgeon, no resident | $3.02 | $3.31 | $4.37 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.02 Median $3.31 Typical High $4.37 | Professional | AS · PA/NP assist | $3.02 | $3.31 | $4.37 |
Where North Carolina sits
The same service costs 2.4 times more in Alaska than in Louisiana. 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· 42nd of 51
$30.90
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.