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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | None | $45.71 | $45.71 | $52.48 |
BCBS North Carolina Setting Facility Modifier None Typical Low $33.11 Median $33.88 Typical High $57.54 | Facility | None | $33.11 | $33.88 | $57.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | None | $42.66 | $42.66 | $60.26 |
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 $45.71 Median $54.95 Typical High $141.25 | Facility | None | $45.71 | $54.95 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $77.62 | Professional | None | $21.88 | $21.88 | $77.62 |
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 $10.96 Median $10.96 Typical High $58.88 | Professional | 51 · Multiple procedures | $10.96 | $10.96 | $58.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.47 Median $4.47 Typical High $23.44 | Professional | 80 · Assistant surgeon | $4.47 | $4.47 | $23.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.09 Median $3.09 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $3.09 | $3.09 | $16.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.09 Median $3.09 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $3.09 | $3.09 | $16.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.09 Median $3.09 Typical High $16.60 | Professional | AS · PA/NP assist | $3.09 | $3.09 | $16.60 |
Where North Carolina sits
The same service costs 2.8 times more in Utah than in North Carolina. 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· 51st of 51
$45.71
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.