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 $346.74 Median $346.74 Typical High $7,943.28 | Facility | None | $346.74 | $346.74 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $501.19 | Professional | None | $302.00 | $346.74 | $501.19 |
BCBS North Carolina Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,380.38 | Professional | None | $489.78 | $912.01 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $363.08 Typical High $549.54 | Facility | None | $346.74 | $363.08 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $269.15 | Professional | None | $186.21 | $269.15 | $269.15 |
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 $575.44 Typical High $870.96 | Professional | None | $426.58 | $575.44 | $870.96 |
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 $93.33 Median $134.90 Typical High $134.90 | Professional | 51 · Multiple procedures | $93.33 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $53.70 Typical High $53.70 | Professional | 80 · Assistant surgeon | $37.15 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $26.30 | $37.15 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $37.15 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | AS · PA/NP assist | $26.30 | $37.15 | $37.15 |
Where North Carolina sits
The same service costs 8.3 times more in Alaska 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· 4th 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.