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 $630.96 Median $630.96 Typical High $1,412.54 | Facility | None | $630.96 | $630.96 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $630.96 | Professional | None | $602.56 | $630.96 | $630.96 |
BCBS North Carolina Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,949.84 | Professional | None | $977.24 | $1,288.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $4,365.16 | Facility | None | $2,754.23 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $660.69 | Facility | None | $630.96 | $630.96 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,380.38 | Professional | None | $602.56 | $602.56 | $1,380.38 |
United Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,819.70 | Professional | None | $575.44 | $870.96 | $1,819.70 |
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 $302.00 Median $302.00 Typical High $891.25 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $891.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $120.23 Typical High $354.81 | Professional | 80 · Assistant surgeon | $120.23 | $120.23 | $354.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $85.11 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $85.11 | $85.11 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $85.11 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $85.11 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $85.11 Typical High $245.47 | Professional | AS · PA/NP assist | $85.11 | $85.11 | $245.47 |
Where North Carolina sits
The same service costs 4.8 times more in Alaska than in Mississippi. 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· 4th of 51
$1,148
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.