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 $426.58 Median $426.58 Typical High $7,943.28 | Facility | None | $426.58 | $426.58 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $478.63 | Professional | None | $416.87 | $426.58 | $478.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $512.86 Median $831.76 Typical High $1,202.26 | Professional | None | $512.86 | $831.76 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $457.09 Typical High $691.83 | Facility | None | $426.58 | $457.09 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $416.87 | Professional | None | $295.12 | $416.87 | $416.87 |
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 $407.38 Median $524.81 Typical High $851.14 | Professional | None | $407.38 | $524.81 | $851.14 |
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 $144.54 Median $208.93 Typical High $208.93 | Professional | 51 · Multiple procedures | $144.54 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $83.18 Typical High $83.18 | Professional | 80 · Assistant surgeon | $58.88 | $83.18 | $83.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $58.88 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $40.74 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $58.88 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $58.88 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $40.74 Median $58.88 Typical High $58.88 | Professional | AS · PA/NP assist | $40.74 | $58.88 | $58.88 |
Where North Carolina sits
The same service costs 8.7 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· 5th of 51
$794
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.