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 $467.74 Median $1,288.25 Typical High $8,317.64 | Facility | None | $467.74 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $1,047.13 | Professional | None | $446.68 | $467.74 | $1,047.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,318.26 | Professional | None | $676.08 | $1,000.00 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $2,187.76 | Facility | None | $478.63 | $645.65 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $489.78 Typical High $741.31 | Facility | None | $467.74 | $489.78 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $758.58 | Professional | None | $316.23 | $457.09 | $758.58 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $10,471.29 Typical High $26,302.68 | Facility | None | $1,621.81 | $10,471.29 | $26,302.68 |
United Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $1,288.25 | Professional | None | $457.09 | $724.44 | $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 $158.49 Median $229.09 Typical High $602.56 | Professional | 51 · Multiple procedures | $158.49 | $229.09 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $91.20 Typical High $245.47 | Professional | 80 · Assistant surgeon | $63.10 | $91.20 | $245.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $44.67 Median $63.10 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $44.67 | $63.10 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $44.67 Median $63.10 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $44.67 | $63.10 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $63.10 Typical High $169.82 | Professional | AS · PA/NP assist | $44.67 | $63.10 | $169.82 |
Where North Carolina sits
The same service costs 12.9 times more in Louisiana than in Maine. 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· 27th of 51
$912
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.