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 $478.63 Median $1,000.00 Typical High $7,943.28 | Facility | None | $478.63 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | None | $478.63 | $478.63 | $588.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $5,370.32 | Facility | None | $1,348.96 | $2,137.96 | $5,370.32 |
BCBS North Carolina Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $1,513.56 | Professional | None | $426.58 | $912.01 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $4,365.16 Typical High $7,244.36 | Facility | None | $1,258.93 | $4,365.16 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $954.99 | Professional | None | $512.86 | $524.81 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,096.48 | Professional | None | $741.31 | $741.31 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $5,888.44 | Facility | None | $724.44 | $1,096.48 | $5,888.44 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $676.08 | Professional | None | $467.74 | $630.96 | $676.08 |
Oscar Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | None | $446.68 | $446.68 | $457.09 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $8,709.64 | Facility | None | $851.14 | $1,698.24 | $8,709.64 |
United Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $912.01 | Professional | None | $426.58 | $524.81 | $912.01 |
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 $354.81 Median $354.81 Typical High $407.38 | Professional | 54 · Surgery only | $354.81 | $354.81 | $407.38 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $363.08 Median $549.54 Typical High $2,884.03 | Facility | 51 · Multiple procedures | $363.08 | $549.54 | $2,884.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $338.84 Typical High $354.81 | Professional | 51 · Multiple procedures | $234.42 | $338.84 | $354.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $134.90 Typical High $134.90 | Professional | 80 · Assistant surgeon | $93.33 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $64.57 | $95.50 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $95.50 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | AS · PA/NP assist | $64.57 | $95.50 | $95.50 |
Where North Carolina sits
The same service costs 4.6 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· 14th of 51
$759
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.