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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | None | $131.83 | $138.04 | $138.04 |
BCBS North Carolina Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $213.80 | Facility | None | $125.89 | $141.25 | $213.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | None | $89.13 | $89.13 | $117.49 |
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 $138.04 Median $165.96 Typical High $489.78 | Facility | None | $138.04 | $165.96 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $537.03 | Professional | None | $331.13 | $331.13 | $537.03 |
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 $93.33 Median $165.96 Typical High $165.96 | Professional | 51 · Multiple procedures | $93.33 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $66.07 Typical High $66.07 | Professional | 80 · Assistant surgeon | $38.02 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $46.77 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $26.30 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $46.77 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $46.77 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $46.77 Typical High $46.77 | Professional | AS · PA/NP assist | $26.30 | $46.77 | $46.77 |
Where North Carolina sits
The same service costs 3.2 times more in Wyoming 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
$117
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.