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 $131.83 Median $134.90 Typical High $162.18 | Facility | None | $131.83 | $134.90 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $190.55 | Professional | None | $131.83 | $158.49 | $190.55 |
BCBS North Carolina Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $371.54 | Professional | None | $154.88 | $234.42 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | None | $128.82 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $194.98 | Facility | None | $131.83 | $162.18 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $125.89 | Professional | None | $89.13 | $112.20 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $223.87 Typical High $371.54 | Professional | None | $123.03 | $223.87 | $371.54 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $245.47 | Professional | None | $91.20 | $138.04 | $245.47 |
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 $44.67 Median $56.23 Typical High $63.10 | Professional | 51 · Multiple procedures | $44.67 | $56.23 | $63.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $22.39 Typical High $25.12 | Professional | 80 · Assistant surgeon | $17.78 | $22.39 | $25.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $15.85 Typical High $17.78 | Professional | 81 · Minimal assistant surgeon | $12.30 | $15.85 | $17.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $15.85 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $15.85 | $17.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $15.85 Typical High $17.78 | Professional | AS · PA/NP assist | $12.30 | $15.85 | $17.78 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 5th of 51
$219
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.