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 $2,344.23 Typical High $7,943.28 | Facility | None | $1,288.25 | $2,344.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,344.23 | $2,951.21 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,467.37 Median $4,897.79 Typical High $6,456.54 | Professional | None | $3,467.37 | $4,897.79 | $6,456.54 |
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 $2,818.38 Median $3,467.37 Typical High $6,760.83 | Professional | None | $2,818.38 | $3,467.37 | $6,760.83 |
Medcost Setting Facility Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $3,715.35 | Facility | None | $2,344.23 | $2,454.71 | $3,715.35 |
Medcost Setting Professional Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $3,981.07 | Professional | None | $2,238.72 | $3,801.89 | $3,981.07 |
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 $2,398.83 Median $3,467.37 Typical High $6,456.54 | Professional | None | $2,398.83 | $3,467.37 | $6,456.54 |
6 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 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $2,089.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,122.02 Median $1,995.26 Typical High $3,467.37 | Professional | 51 · Multiple procedures | $1,122.02 | $1,995.26 | $3,467.37 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $446.68 Median $794.33 Typical High $1,380.38 | Professional | 80 · Assistant surgeon | $446.68 | $794.33 | $1,380.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $309.03 Median $562.34 Typical High $954.99 | Professional | 81 · Minimal assistant surgeon | $309.03 | $562.34 | $954.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $309.03 Median $562.34 Typical High $954.99 | Professional | 82 · Assistant surgeon, no resident | $309.03 | $562.34 | $954.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $562.34 Typical High $954.99 | Professional | AS · PA/NP assist | $309.03 | $562.34 | $954.99 |
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
$3,981
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.