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 $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $162.18 | Professional | None | $120.23 | $131.83 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $239.88 | Professional | None | $95.50 | $186.21 | $239.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $331.13 | Professional | None | $173.78 | $263.03 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $162.18 | Professional | None | $89.13 | $128.82 | $162.18 |
United Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $295.12 | Professional | None | $123.03 | $138.04 | $295.12 |
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 $64.57 Typical High $107.15 | Professional | 51 · Multiple procedures | $44.67 | $64.57 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $25.70 Typical High $42.66 | Professional | 80 · Assistant surgeon | $17.78 | $25.70 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $17.78 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $12.30 | $17.78 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $17.78 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $17.78 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $17.78 Typical High $29.51 | Professional | AS · PA/NP assist | $12.30 | $17.78 | $29.51 |
Where North Carolina sits
The same service costs 2.6 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· 2nd of 51
$263
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.