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 $218.78 Median $1,288.25 Typical High $8,317.64 | Facility | None | $218.78 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $1,288.25 | Professional | None | $208.93 | $218.78 | $1,288.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $616.60 | Professional | None | $309.03 | $457.09 | $616.60 |
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 $218.78 Median $229.09 Typical High $346.74 | Facility | None | $218.78 | $229.09 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $371.54 | Professional | None | $147.91 | $208.93 | $371.54 |
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 $213.80 Median $331.13 Typical High $588.84 | Professional | None | $213.80 | $331.13 | $588.84 |
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 $74.13 Median $104.71 Typical High $281.84 | Professional | 51 · Multiple procedures | $74.13 | $104.71 | $281.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $41.69 Typical High $112.20 | Professional | 80 · Assistant surgeon | $29.51 | $41.69 | $112.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $29.51 Typical High $79.43 | Professional | 81 · Minimal assistant surgeon | $20.42 | $29.51 | $79.43 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $29.51 Typical High $79.43 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $29.51 | $79.43 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $29.51 Typical High $79.43 | Professional | AS · PA/NP assist | $20.42 | $29.51 | $79.43 |
Where North Carolina sits
The same service costs 9.5 times more in Colorado 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
$447
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.