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 $2,630.27 | Professional | None | $1,905.46 | $1,905.46 | $2,630.27 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $5,888.44 | Professional | None | $3,019.95 | $3,630.78 | $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 $2,398.83 Median $3,311.31 Typical High $6,165.95 | Professional | None | $2,398.83 | $3,311.31 | $6,165.95 |
Medcost Setting Facility Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $3,019.95 | Facility | None | $1,905.46 | $1,995.26 | $3,019.95 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,019.95 | Professional | None | $1,778.28 | $2,630.27 | $3,019.95 |
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 $3,388.44 Typical High $5,128.61 | Professional | None | $1,949.84 | $3,388.44 | $5,128.61 |
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 $1,412.54 Median $1,412.54 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,995.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $891.25 Median $1,318.26 Typical High $2,754.23 | Professional | 51 · Multiple procedures | $891.25 | $1,318.26 | $2,754.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $537.03 Typical High $1,096.48 | Professional | 80 · Assistant surgeon | $354.81 | $537.03 | $1,096.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $371.54 Typical High $776.25 | Professional | 81 · Minimal assistant surgeon | $251.19 | $371.54 | $776.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $371.54 Typical High $776.25 | Professional | 82 · Assistant surgeon, no resident | $251.19 | $371.54 | $776.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $371.54 Typical High $776.25 | Professional | AS · PA/NP assist | $251.19 | $371.54 | $776.25 |
Where North Carolina sits
The same service costs 4.7 times more in Alaska than in Arkansas. 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· 9th of 51
$3,631
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.