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 $812.83 Median $812.83 Typical High $7,943.28 | Facility | None | $812.83 | $812.83 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,122.02 | Professional | None | $812.83 | $812.83 | $1,122.02 |
BCBS North Carolina Setting Professional Modifier None Typical Low $831.76 Median $1,548.82 Typical High $2,454.71 | Professional | None | $831.76 | $1,548.82 | $2,454.71 |
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 $1,023.29 Median $1,412.54 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,412.54 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $1,288.25 | Facility | None | $812.83 | $831.76 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,288.25 | Professional | None | $758.58 | $1,122.02 | $1,288.25 |
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 $831.76 Median $1,548.82 Typical High $2,290.87 | Professional | None | $831.76 | $1,548.82 | $2,290.87 |
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 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $851.14 | Professional | 54 · Surgery only | $602.56 | $602.56 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $380.19 Median $562.34 Typical High $1,174.90 | Professional | 51 · Multiple procedures | $380.19 | $562.34 | $1,174.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $229.09 Typical High $467.74 | Professional | 80 · Assistant surgeon | $151.36 | $229.09 | $467.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $158.49 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $107.15 | $158.49 | $331.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $158.49 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $158.49 | $331.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $158.49 Typical High $331.13 | Professional | AS · PA/NP assist | $107.15 | $158.49 | $331.13 |
Where North Carolina sits
The same service costs 3.7 times more in Alaska than in New York. 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· 15th of 51
$1,349
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.