How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $13.49 Median $47.86 Typical High $47.86 | Facility | None | $13.49 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | None | $47.86 | $47.86 | $51.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $67.61 | Facility | None | $56.23 | $56.23 | $67.61 |
BCBS North Carolina Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $81.28 | Professional | None | $44.67 | $70.79 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $302.00 | Facility | None | $144.54 | $213.80 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $75.86 Typical High $141.25 | Facility | None | $47.86 | $75.86 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $107.15 | Professional | None | $11.75 | $14.79 | $107.15 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
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 $5.89 Median $7.41 Typical High $51.29 | Professional | 51 · Multiple procedures | $5.89 | $7.41 | $51.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.34 Median $3.02 Typical High $20.42 | Professional | 80 · Assistant surgeon | $2.34 | $3.02 | $20.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.66 Median $2.09 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $1.66 | $2.09 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.66 Median $2.09 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $1.66 | $2.09 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.66 Median $2.09 Typical High $14.13 | Professional | AS · PA/NP assist | $1.66 | $2.09 | $14.13 |
Where North Carolina sits
The same service costs 2.5 times more in Florida than in Indiana. 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· 28th of 51
$70.79
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.