How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,949.84 Typical High $2,238.72 | Professional | None (both parts) | $1,905.46 | $1,949.84 | $2,238.72 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,691.53 Typical High $7,762.47 | Professional | None (both parts) | $2,089.30 | $2,691.53 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $6,456.54 Typical High $11,220.18 | Facility | None | $3,630.78 | $6,456.54 | $11,220.18 |
Medcost Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,949.84 | $1,949.84 | $2,884.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $4,168.69 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $2,511.89 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $2,511.89 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $977.24 Typical High $1,122.02 | Professional | 52 · Reduced service | $954.99 | $977.24 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $389.05 Typical High $446.68 | Professional | 53 · Discontinued | $380.19 | $389.05 | $446.68 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $977.24 Median $977.24 Typical High $1,819.70 | Professional | 26 · Professional part | $977.24 | $977.24 | $1,819.70 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,715.35 Median $3,715.35 Typical High $9,332.54 | Professional | 50 · Both sides | $3,715.35 | $3,715.35 | $9,332.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,230.27 Typical High $3,162.28 | Professional | 51 · Multiple procedures | $1,230.27 | $1,230.27 | $3,162.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $489.78 Median $489.78 Typical High $1,258.93 | Professional | 80 · Assistant surgeon | $489.78 | $489.78 | $1,258.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $346.74 Median $346.74 Typical High $870.96 | Professional | 81 · Minimal assistant surgeon | $346.74 | $346.74 | $870.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $346.74 Median $346.74 Typical High $870.96 | Professional | 82 · Assistant surgeon, no resident | $346.74 | $346.74 | $870.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $346.74 Typical High $870.96 | Professional | AS · PA/NP assist | $346.74 | $346.74 | $870.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2,290.87 Median $2,290.87 Typical High $4,168.69 | Professional | TC · Technical part | $2,290.87 | $2,290.87 | $4,168.69 |
Where North Carolina sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 19th of 51
$2,455
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.