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 $30.90 Median $30.90 Typical High $32.36 | Facility | None | $30.90 | $30.90 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $37.15 | Professional | None | $29.51 | $32.36 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | None | $27.54 | $27.54 | $32.36 |
BCBS North Carolina Setting Professional Modifier None Typical Low $37.15 Median $58.88 Typical High $75.86 | Professional | None | $37.15 | $58.88 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $32.36 Typical High $38.90 | Facility | None | $30.90 | $32.36 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $30.90 | Professional | None | $21.88 | $30.90 | $30.90 |
Oscar Health Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $63.10 | Professional | None | $28.18 | $30.90 | $63.10 |
United Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $53.70 | Professional | None | $29.51 | $33.11 | $53.70 |
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 $15.14 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $15.14 | $15.85 | $16.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.96 Median $15.49 Typical High $15.49 | Professional | 51 · Multiple procedures | $10.96 | $15.49 | $15.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.37 Median $6.17 Typical High $6.17 | Professional | 80 · Assistant surgeon | $4.37 | $6.17 | $6.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.02 Median $4.37 Typical High $4.37 | Professional | 81 · Minimal assistant surgeon | $3.02 | $4.37 | $4.37 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.02 Median $4.37 Typical High $4.37 | Professional | 82 · Assistant surgeon, no resident | $3.02 | $4.37 | $4.37 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.02 Median $4.37 Typical High $4.37 | Professional | AS · PA/NP assist | $3.02 | $4.37 | $4.37 |
Where North Carolina sits
The same service costs 3.1 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· 2nd of 51
$54.95
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.