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 $169.82 Median $1,000.00 Typical High $7,943.28 | Facility | None | $169.82 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $309.03 | Professional | None | $158.49 | $169.82 | $309.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $831.76 | Professional | None | $128.82 | $213.80 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $275.42 | Facility | None | $169.82 | $181.97 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $295.12 | Professional | None | $131.83 | $131.83 | $295.12 |
United Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $467.74 | Professional | None | $199.53 | $263.03 | $467.74 |
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 $66.07 Median $66.07 Typical High $173.78 | Professional | 51 · Multiple procedures | $66.07 | $66.07 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $26.30 Typical High $69.18 | Professional | 80 · Assistant surgeon | $26.30 | $26.30 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $18.20 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $18.20 | $18.20 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $18.20 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $18.20 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $18.20 Typical High $47.86 | Professional | AS · PA/NP assist | $18.20 | $18.20 | $47.86 |
Where North Carolina sits
The same service costs 112.2 times more in Texas 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· 35th of 51
$214
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.