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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $14.79 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $3.24 Median $6.31 Typical High $6.92 | Professional | None (both parts) | $3.24 | $6.31 | $6.92 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $30.20 | $30.20 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None (both parts) | $10.72 | $10.72 | $10.72 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $15.49 | Facility | None | $14.79 | $14.79 | $15.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.85 Median $33.88 Typical High $56.23 | Professional | None (both parts) | $15.85 | $33.88 | $56.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.85 Typical High $16.98 | Professional | None (both parts) | $15.14 | $15.85 | $16.98 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $16.98 | Professional | None (both parts) | $15.14 | $15.14 | $16.98 |
8 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 26 · Professional part Typical Low $8.91 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $8.91 | $19.50 | $25.12 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $23.44 Median $51.29 Typical High $85.11 | Professional | 50 · Both sides | $23.44 | $51.29 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.76 Median $16.98 Typical High $28.18 | Professional | 51 · Multiple procedures | $7.76 | $16.98 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.16 Median $6.76 Typical High $11.22 | Professional | 80 · Assistant surgeon | $3.16 | $6.76 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.19 Median $4.79 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $2.19 | $4.79 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.19 Median $4.79 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $2.19 | $4.79 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.19 Median $4.79 Typical High $7.94 | Professional | AS · PA/NP assist | $2.19 | $4.79 | $7.94 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $13.49 | $29.51 | $37.15 |
Where North Carolina sits
The same service costs 8.7 times more in Montana than in California. 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· 9th of 51
$30.20
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.