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 $162.18 Median $162.18 Typical High $223.87 | Facility | None | $162.18 | $162.18 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $213.80 | Professional | None | $158.49 | $162.18 | $213.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $416.87 | Professional | None | $208.93 | $309.03 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None | $141.25 | $141.25 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $263.03 | Professional | None | $245.47 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $158.49 | Professional | None | $112.20 | $158.49 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $389.05 | Professional | None | $173.78 | $309.03 | $389.05 |
United Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $281.84 | Professional | None | $151.36 | $165.96 | $281.84 |
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 $56.23 Median $77.62 Typical High $77.62 | Professional | 51 · Multiple procedures | $56.23 | $77.62 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $31.62 Typical High $31.62 | Professional | 80 · Assistant surgeon | $22.39 | $31.62 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $21.88 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $15.49 | $21.88 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $21.88 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $21.88 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $21.88 Typical High $21.88 | Professional | AS · PA/NP assist | $15.49 | $21.88 | $21.88 |
Where North Carolina sits
The same service costs 2.6 times more in North Dakota 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· 3rd of 51
$275
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.