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 $60.26 Median $60.26 Typical High $63.10 | Facility | None | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $63.10 | Professional | None | $54.95 | $60.26 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $158.49 | Professional | None | $81.28 | $123.03 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $75.86 | Facility | None | $60.26 | $63.10 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $63.10 | Professional | None | $42.66 | $63.10 | $63.10 |
Oscar Health Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $141.25 | Professional | None | $54.95 | $102.33 | $141.25 |
United Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $104.71 | Professional | None | $56.23 | $63.10 | $104.71 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $30.20 | $31.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $31.62 Typical High $31.62 | Professional | 51 · Multiple procedures | $21.38 | $31.62 | $31.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $12.59 Typical High $12.59 | Professional | 80 · Assistant surgeon | $8.51 | $12.59 | $12.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $8.71 Typical High $8.71 | Professional | 81 · Minimal assistant surgeon | $6.03 | $8.71 | $8.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $8.71 Typical High $8.71 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $8.71 | $8.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $8.71 Typical High $8.71 | Professional | AS · PA/NP assist | $6.03 | $8.71 | $8.71 |
Where North Carolina sits
The same service costs 2.8 times more in Alaska than in Alabama. 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
$120
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.