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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | None | $83.18 | $85.11 | $85.11 |
BCBS North Carolina Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $263.03 | Facility | None | $95.50 | $107.15 | $263.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | None | $95.50 | $95.50 | $100.00 |
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 $85.11 Median $112.20 Typical High $141.25 | Facility | None | $85.11 | $112.20 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $134.90 | Professional | None | $89.13 | $91.20 | $134.90 |
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 $44.67 Median $45.71 Typical High $104.71 | Professional | 51 · Multiple procedures | $44.67 | $45.71 | $104.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $18.20 Typical High $42.66 | Professional | 80 · Assistant surgeon | $17.78 | $18.20 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.59 Median $12.88 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $12.59 | $12.88 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.59 Median $12.88 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $12.59 | $12.88 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.59 Median $12.88 Typical High $29.51 | Professional | AS · PA/NP assist | $12.59 | $12.88 | $29.51 |
Where North Carolina sits
The same service costs 1.8 times more in North Dakota than in Virginia. 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· 43rd of 51
$95.50
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.