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 $870.96 Median $2,630.27 Typical High $9,549.93 | Facility | None | $870.96 | $2,630.27 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $2,630.27 Typical High $5,495.41 | Professional | None | $707.95 | $2,630.27 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $29,512.09 | Facility | None | $478.63 | $851.14 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,348.96 | Facility | None | $851.14 | $851.14 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None | $724.44 | $724.44 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | 51 · Multiple procedures | $363.08 | $363.08 | $426.58 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
4 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 80 · Assistant surgeon Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 80 · Assistant surgeon | $144.54 | $144.54 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $100.00 | $100.00 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $100.00 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | AS · PA/NP assist | $100.00 | $100.00 | $120.23 |
Where North Carolina sits
The same service costs 158.5 times more in Alaska than in Hawaii. 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· 21st of 51
$724
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.