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 $2,137.96 Typical High $7,943.28 | Facility | None | $1,288.25 | $2,137.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,691.53 | Professional | None | $2,137.96 | $2,137.96 | $2,691.53 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $6,606.93 | Professional | None | $2,754.23 | $3,890.45 | $6,606.93 |
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 $2,570.40 Median $3,162.28 Typical High $6,165.95 | Professional | None | $2,570.40 | $3,162.28 | $6,165.95 |
Medcost Setting Facility Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $3,388.44 | Facility | None | $2,137.96 | $2,187.76 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $3,630.78 | Professional | None | $1,995.26 | $3,388.44 | $3,630.78 |
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 $2,187.76 Median $3,235.94 Typical High $5,754.40 | Professional | None | $2,187.76 | $3,235.94 | $5,754.40 |
8 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 $1,584.89 Median $1,584.89 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,905.46 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,019.95 Median $5,370.32 Typical High $9,332.54 | Professional | 50 · Both sides | $3,019.95 | $5,370.32 | $9,332.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,819.70 Typical High $3,090.30 | Professional | 51 · Multiple procedures | $1,000.00 | $1,819.70 | $3,090.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $724.44 Typical High $1,258.93 | Professional | 80 · Assistant surgeon | $398.11 | $724.44 | $1,258.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $281.84 Median $501.19 Typical High $870.96 | Professional | 81 · Minimal assistant surgeon | $281.84 | $501.19 | $870.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $281.84 Median $501.19 Typical High $870.96 | Professional | 82 · Assistant surgeon, no resident | $281.84 | $501.19 | $870.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $501.19 Typical High $870.96 | Professional | AS · PA/NP assist | $281.84 | $501.19 | $870.96 |
Where North Carolina sits
The same service costs 6.3 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· 18th of 51
$3,162
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.