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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | None | $104.71 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $95.50 Typical High $218.78 | Professional | None | $19.95 | $95.50 | $218.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $123.03 Median $199.53 Typical High $288.40 | Professional | None | $123.03 | $199.53 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $151.36 | Professional | None | $134.90 | $134.90 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | None | $74.13 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $186.21 | Professional | None | $100.00 | $112.20 | $186.21 |
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 $37.15 Median $51.29 Typical High $51.29 | Professional | 51 · Multiple procedures | $37.15 | $51.29 | $51.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $20.89 Typical High $20.89 | Professional | 80 · Assistant surgeon | $14.79 | $20.89 | $20.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.47 Median $14.45 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $10.47 | $14.45 | $14.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.47 Median $14.45 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $10.47 | $14.45 | $14.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.47 Median $14.45 Typical High $14.45 | Professional | AS · PA/NP assist | $10.47 | $14.45 | $14.45 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 4th of 51
$191
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.