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 |
|---|---|---|---|---|---|
BCBS North Carolina Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $75.86 | Facility | None | $63.10 | $63.10 | $75.86 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $4.37 Median $7.08 Typical High $56.23 | Professional | None (both parts) | $4.37 | $7.08 | $56.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1.74 Median $2.82 Typical High $3.63 | Professional | 26 · Professional part | $1.74 | $2.82 | $3.63 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6.46 Median $10.47 Typical High $13.49 | Professional | 50 · Both sides | $6.46 | $10.47 | $13.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.19 Median $3.47 Typical High $4.47 | Professional | 51 · Multiple procedures | $2.19 | $3.47 | $4.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.87 Median $1.41 Typical High $1.82 | Professional | 80 · Assistant surgeon | $0.87 | $1.41 | $1.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.62 Median $0.98 Typical High $1.26 | Professional | 81 · Minimal assistant surgeon | $0.62 | $0.98 | $1.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.62 Median $0.98 Typical High $1.26 | Professional | 82 · Assistant surgeon, no resident | $0.62 | $0.98 | $1.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.62 Median $0.98 Typical High $1.26 | Professional | AS · PA/NP assist | $0.62 | $0.98 | $1.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $4.17 Typical High $5.37 | Professional | TC · Technical part | $2.57 | $4.17 | $5.37 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Where North Carolina sits
The same service costs 19.5 times more in Washington, DC 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· 41st of 43
$7.08
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.