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 $436.52 Median $436.52 Typical High $7,943.28 | Facility | None | $436.52 | $436.52 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $436.52 | Professional | None | $416.87 | $436.52 | $436.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,230.27 | Professional | None | $630.96 | $933.25 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $31,622.78 | Facility | None | $478.63 | $645.65 | $31,622.78 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $691.83 | Facility | None | $436.52 | $446.68 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $707.95 | Professional | None | $295.12 | $426.58 | $707.95 |
United Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $5,011.87 | Facility | None | $338.84 | $851.14 | $5,011.87 |
United Setting Professional Modifier None Typical Low $426.58 Median $676.08 Typical High $1,288.25 | Professional | None | $426.58 | $676.08 | $1,288.25 |
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 $147.91 Median $208.93 Typical High $575.44 | Professional | 51 · Multiple procedures | $147.91 | $208.93 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $85.11 Typical High $229.09 | Professional | 80 · Assistant surgeon | $58.88 | $85.11 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $58.88 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $41.69 | $58.88 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $58.88 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $58.88 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $58.88 Typical High $158.49 | Professional | AS · PA/NP assist | $41.69 | $58.88 | $158.49 |
Where North Carolina sits
The same service costs 7.2 times more in Texas than in New York. 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· 13th of 51
$776
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.