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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $245.47 | Professional | None | $229.09 | $239.88 | $245.47 |
BCBS North Carolina Setting Facility Modifier None Typical Low $741.31 Median $1,122.02 Typical High $2,951.21 | Facility | None | $741.31 | $1,122.02 | $2,951.21 |
BCBS North Carolina Setting Professional Modifier None Typical Low $100.00 Median $489.78 Typical High $724.44 | Professional | None | $100.00 | $489.78 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $1,819.70 | Facility | None | $602.56 | $1,023.29 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $933.25 Typical High $2,041.74 | Facility | None | $251.19 | $933.25 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $239.88 | Professional | None | $162.18 | $239.88 | $239.88 |
United Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $4,897.79 | Facility | None | $478.63 | $891.25 | $4,897.79 |
United Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $478.63 | Professional | None | $234.42 | $295.12 | $478.63 |
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 $81.28 Median $120.23 Typical High $120.23 | Professional | 51 · Multiple procedures | $81.28 | $120.23 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $47.86 Typical High $47.86 | Professional | 80 · Assistant surgeon | $32.36 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $33.88 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $22.91 | $33.88 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $33.88 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $33.88 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $33.88 Typical High $33.88 | Professional | AS · PA/NP assist | $22.91 | $33.88 | $33.88 |
Where North Carolina sits
The same service costs 4.7 times more in Alaska than in Pennsylvania. 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· 15th 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.