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 $91.20 Median $1,000.00 Typical High $7,943.28 | Facility | None | $91.20 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $112.20 | Professional | None | $85.11 | $91.20 | $112.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $257.04 | Professional | None | $117.49 | $190.55 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $1,995.26 | Facility | None | $478.63 | $645.65 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $489.78 | Facility | None | $95.50 | $234.42 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | None | $87.10 | $87.10 | $138.04 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $245.47 | Professional | None | $77.62 | $112.20 | $245.47 |
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 $43.65 Median $43.65 Typical High $83.18 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $83.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $17.38 Typical High $33.11 | Professional | 80 · Assistant surgeon | $17.38 | $17.38 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $12.30 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $12.30 | $12.30 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $12.30 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $12.30 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $12.30 Typical High $23.44 | Professional | AS · PA/NP assist | $12.30 | $12.30 | $23.44 |
Where North Carolina sits
The same service costs 14.1 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· 5th of 51
$182
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.