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 $562.34 Median $1,513.56 Typical High $21,877.62 | Facility | None | $562.34 | $1,513.56 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $676.08 | Professional | None | $562.34 | $562.34 | $676.08 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6,760.83 Median $10,000.00 Typical High $13,489.63 | Facility | None | $6,760.83 | $10,000.00 | $13,489.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $933.25 | Professional | None | $436.52 | $691.83 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $7,413.10 Typical High $12,302.69 | Facility | None | $1,584.89 | $7,413.10 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,479.11 | Professional | None | $602.56 | $794.33 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $4,168.69 Typical High $8,709.64 | Facility | None | $562.34 | $4,168.69 | $8,709.64 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $741.31 | Professional | None | $537.03 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $323.59 Median $758.58 Typical High $1,862.09 | Professional | None | $323.59 | $758.58 | $1,862.09 |
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 $426.58 Median $426.58 Typical High $512.86 | Professional | 54 · Surgery only | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $478.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $371.54 Typical High $371.54 | Professional | 51 · Multiple procedures | $269.15 | $371.54 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $147.91 Typical High $147.91 | Professional | 80 · Assistant surgeon | $107.15 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $75.86 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $104.71 | $104.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | AS · PA/NP assist | $75.86 | $104.71 | $104.71 |
Where North Carolina sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 27th of 51
$692
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.