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 $199.53 Median $1,000.00 Typical High $7,943.28 | Facility | None | $199.53 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | None | $199.53 | $199.53 | $288.40 |
BCBS North Carolina Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $338.84 | Facility | None | $131.83 | $213.80 | $338.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $660.69 | Professional | None | $363.08 | $501.19 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,344.23 | $3,388.44 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $2,691.53 Typical High $6,918.31 | Facility | None | $194.98 | $2,691.53 | $6,918.31 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $346.74 | Professional | None | $194.98 | $194.98 | $346.74 |
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 $194.98 Median $302.00 Typical High $616.60 | Professional | None | $194.98 | $302.00 | $616.60 |
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 $97.72 Median $97.72 Typical High $208.93 | Professional | 51 · Multiple procedures | $97.72 | $97.72 | $208.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $38.90 Typical High $83.18 | Professional | 80 · Assistant surgeon | $38.90 | $38.90 | $83.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $27.54 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $27.54 | $27.54 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $27.54 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $27.54 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $27.54 Typical High $58.88 | Professional | AS · PA/NP assist | $27.54 | $27.54 | $58.88 |
Where North Carolina sits
The same service costs 34.7 times more in Texas than in Nebraska. 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· 8th of 51
$490
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.