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 $1,949.84 Typical High $7,943.28 | Facility | None | $1,288.25 | $1,949.84 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,949.84 | $1,949.84 | $2,511.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $6,165.95 | Professional | None | $3,090.30 | $3,801.89 | $6,165.95 |
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 $2,454.71 Median $2,884.03 Typical High $5,754.40 | Professional | None | $2,454.71 | $2,884.03 | $5,754.40 |
Medcost Setting Facility Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $3,162.28 | Facility | None | $1,949.84 | $2,089.30 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $3,162.28 Typical High $3,467.37 | Professional | None | $1,862.09 | $3,162.28 | $3,467.37 |
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 $1,995.26 Median $3,090.30 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,090.30 | $5,370.32 |
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 $1,479.11 Median $1,479.11 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,737.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $933.25 Median $1,737.80 Typical High $2,884.03 | Professional | 51 · Multiple procedures | $933.25 | $1,737.80 | $2,884.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $691.83 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $371.54 | $691.83 | $1,148.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $263.03 Median $478.63 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $263.03 | $478.63 | $812.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $263.03 Median $478.63 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $263.03 | $478.63 | $812.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $478.63 Typical High $812.83 | Professional | AS · PA/NP assist | $263.03 | $478.63 | $812.83 |
Where North Carolina sits
The same service costs 5.5 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
$3,467
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.