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 $407.38 Median $1,288.25 Typical High $8,317.64 | Facility | None | $407.38 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $1,288.25 | Professional | None | $389.05 | $407.38 | $1,288.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,148.15 | Professional | None | $588.84 | $870.96 | $1,148.15 |
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 $407.38 Median $436.52 Typical High $660.69 | Facility | None | $407.38 | $436.52 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $660.69 | Professional | None | $281.84 | $398.11 | $660.69 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,302.69 | Facility | None | $1,047.13 | $2,398.83 | $12,302.69 |
United Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $1,122.02 | Professional | None | $398.11 | $630.96 | $1,122.02 |
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 $141.25 Median $199.53 Typical High $537.03 | Professional | 51 · Multiple procedures | $141.25 | $199.53 | $537.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $79.43 Typical High $213.80 | Professional | 80 · Assistant surgeon | $56.23 | $79.43 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $56.23 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $38.90 | $56.23 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $56.23 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $56.23 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $56.23 Typical High $147.91 | Professional | AS · PA/NP assist | $38.90 | $56.23 | $147.91 |
Where North Carolina sits
The same service costs 8.3 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· 27th of 51
$813
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.