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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $26.92 | Professional | None | $25.12 | $26.30 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | None | $22.39 | $22.39 | $22.91 |
BCBS North Carolina Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $69.18 | Professional | None | $28.84 | $47.86 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | None | $31.62 | $31.62 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $31.62 | Facility | None | $26.30 | $26.30 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $24.55 | Professional | None | $17.78 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $43.65 | Professional | None | $23.44 | $25.70 | $43.65 |
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 $8.91 Median $12.30 Typical High $12.30 | Professional | 51 · Multiple procedures | $8.91 | $12.30 | $12.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.55 Median $4.90 Typical High $4.90 | Professional | 80 · Assistant surgeon | $3.55 | $4.90 | $4.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.51 Median $3.39 Typical High $3.39 | Professional | 81 · Minimal assistant surgeon | $2.51 | $3.39 | $3.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.51 Median $3.39 Typical High $3.39 | Professional | 82 · Assistant surgeon, no resident | $2.51 | $3.39 | $3.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.51 Median $3.39 Typical High $3.39 | Professional | AS · PA/NP assist | $2.51 | $3.39 | $3.39 |
Where North Carolina sits
The same service costs 3.0 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· 4th of 51
$43.65
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.