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 $64.57 Median $64.57 Typical High $67.61 | Facility | None | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $67.61 | Professional | None | $64.57 | $66.07 | $67.61 |
BCBS North Carolina Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $72.44 | Professional | None | $42.66 | $58.88 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | None | $63.10 | $63.10 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $89.13 | Professional | None | $66.07 | $83.18 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $67.61 | Facility | None | $64.57 | $64.57 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $61.66 | Professional | None | $42.66 | $45.71 | $61.66 |
United Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $131.83 | Professional | None | $52.48 | $69.18 | $131.83 |
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 $21.38 Median $22.91 Typical High $30.90 | Professional | 51 · Multiple procedures | $21.38 | $22.91 | $30.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $9.33 Typical High $12.30 | Professional | 80 · Assistant surgeon | $8.71 | $9.33 | $12.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $6.46 Typical High $8.71 | Professional | 81 · Minimal assistant surgeon | $6.03 | $6.46 | $8.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $6.46 Typical High $8.71 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $6.46 | $8.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $6.46 Typical High $8.71 | Professional | AS · PA/NP assist | $6.03 | $6.46 | $8.71 |
Where North Carolina sits
The same service costs 2.6 times more in Alaska than in Oklahoma. 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· 43rd of 51
$58.88
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.