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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | None | $13.80 | $13.80 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | None | $14.45 | $20.89 | $20.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $58.88 | Professional | None | $14.45 | $22.91 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $17.38 | Facility | None | $13.80 | $13.80 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $18.62 Typical High $19.50 | Professional | None | $9.55 | $18.62 | $19.50 |
Oscar Health Setting Professional Modifier None Typical Low $15.49 Median $28.84 Typical High $34.67 | Professional | None | $15.49 | $28.84 | $34.67 |
United Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $34.67 | Professional | None | $15.49 | $19.95 | $34.67 |
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 $4.79 Median $9.12 Typical High $9.77 | Professional | 51 · Multiple procedures | $4.79 | $9.12 | $9.77 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.95 Median $3.72 Typical High $3.98 | Professional | 80 · Assistant surgeon | $1.95 | $3.72 | $3.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.35 Median $2.57 Typical High $2.75 | Professional | 81 · Minimal assistant surgeon | $1.35 | $2.57 | $2.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.35 Median $2.57 Typical High $2.75 | Professional | 82 · Assistant surgeon, no resident | $1.35 | $2.57 | $2.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.35 Median $2.57 Typical High $2.75 | Professional | AS · PA/NP assist | $1.35 | $2.57 | $2.75 |
Where North Carolina sits
The same service costs 3.2 times more in Alaska 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· 18th of 51
$21.88
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.