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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | None | $19.50 | $19.50 | $23.99 |
BCBS North Carolina Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $213.80 | Facility | None | $125.89 | $131.83 | $213.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $30.20 | Professional | None | $14.79 | $28.84 | $30.20 |
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 $19.50 Median $30.90 Typical High $141.25 | Facility | None | $19.50 | $30.90 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $38.02 | Professional | None | $14.79 | $14.79 | $38.02 |
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 $6.92 Median $7.24 Typical High $12.02 | Professional | 51 · Multiple procedures | $6.92 | $7.24 | $12.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.82 Median $2.95 Typical High $4.79 | Professional | 80 · Assistant surgeon | $2.82 | $2.95 | $4.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.95 Median $2.04 Typical High $3.31 | Professional | 81 · Minimal assistant surgeon | $1.95 | $2.04 | $3.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.95 Median $2.04 Typical High $3.31 | Professional | 82 · Assistant surgeon, no resident | $1.95 | $2.04 | $3.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.95 Median $2.04 Typical High $3.31 | Professional | AS · PA/NP assist | $1.95 | $2.04 | $3.31 |
Where North Carolina sits
The same service costs 8.3 times more in North Dakota than in Kentucky. 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
$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.