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 $1,584.89 Median $2,238.72 Typical High $10,964.78 | Facility | None | $1,584.89 | $2,238.72 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,238.72 | $2,570.40 |
BCBS North Carolina Setting Facility Modifier None Typical Low $11,748.98 Median $19,054.61 Typical High $29,512.09 | Facility | None | $11,748.98 | $19,054.61 | $29,512.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $6,309.57 | Professional | None | $2,511.89 | $3,630.78 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $16,982.44 Typical High $28,183.83 | Facility | None | $602.56 | $16,982.44 | $28,183.83 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $5,370.32 | Professional | None | $2,238.72 | $2,344.23 | $5,370.32 |
Medcost Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,370.32 | Professional | None | $3,388.44 | $3,388.44 | $5,370.32 |
Medcost Setting Facility Modifier None Typical Low $2,238.72 Median $31,622.78 Typical High $43,651.58 | Facility | None | $2,238.72 | $31,622.78 | $43,651.58 |
Medcost Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $3,235.94 | Professional | None | $2,344.23 | $2,511.89 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $10,964.78 Typical High $26,302.68 | Facility | None | $1,621.81 | $10,964.78 | $26,302.68 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $5,495.41 | Professional | None | $1,862.09 | $2,454.71 | $5,495.41 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,174.90 Median $1,230.27 Typical High $2,691.53 | Professional | 51 · Multiple procedures | $1,174.90 | $1,230.27 | $2,691.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $467.74 Median $501.19 Typical High $1,071.52 | Professional | 80 · Assistant surgeon | $467.74 | $501.19 | $1,071.52 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $346.74 Typical High $758.58 | Professional | 81 · Minimal assistant surgeon | $331.13 | $346.74 | $758.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $346.74 Typical High $758.58 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $346.74 | $758.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $346.74 Typical High $758.58 | Professional | AS · PA/NP assist | $331.13 | $346.74 | $758.58 |
Where North Carolina sits
The same service costs 8.1 times more in Alaska than in Texas. 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· 19th of 51
$3,311
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.