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 $1,288.25 Median $1,905.46 Typical High $7,943.28 | Facility | None | $1,288.25 | $1,905.46 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,905.46 | $1,905.46 | $2,454.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $5,888.44 | Professional | None | $3,019.95 | $3,890.45 | $5,888.44 |
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 $2,344.23 Median $2,818.38 Typical High $5,623.41 | Professional | None | $2,344.23 | $2,818.38 | $5,623.41 |
Medcost Setting Facility Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $3,090.30 | Facility | None | $1,905.46 | $2,041.74 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $3,311.31 | Professional | None | $1,819.70 | $3,090.30 | $3,311.31 |
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 $1,949.84 Median $2,951.21 Typical High $5,248.07 | Professional | None | $1,949.84 | $2,951.21 | $5,248.07 |
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 $1,445.44 Median $1,445.44 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,698.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $912.01 Median $1,659.59 Typical High $2,818.38 | Professional | 51 · Multiple procedures | $912.01 | $1,659.59 | $2,818.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $363.08 Median $660.69 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $363.08 | $660.69 | $1,122.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $467.74 Typical High $776.25 | Professional | 81 · Minimal assistant surgeon | $251.19 | $467.74 | $776.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $467.74 Typical High $776.25 | Professional | 82 · Assistant surgeon, no resident | $251.19 | $467.74 | $776.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $467.74 Typical High $776.25 | Professional | AS · PA/NP assist | $251.19 | $467.74 | $776.25 |
Where North Carolina sits
The same service costs 5.8 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· 12th of 51
$3,388
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.