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 $660.69 Median $660.69 Typical High $7,943.28 | Facility | None | $660.69 | $660.69 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
BCBS North Carolina Setting Professional Modifier None Typical Low $218.78 Median $1,096.48 Typical High $1,778.28 | Professional | None | $218.78 | $1,096.48 | $1,778.28 |
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 $724.44 Median $954.99 Typical High $1,778.28 | Professional | None | $724.44 | $954.99 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,047.13 | Facility | None | $660.69 | $758.58 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $912.01 | Professional | None | $660.69 | $912.01 | $912.01 |
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 $588.84 Median $870.96 Typical High $1,621.81 | Professional | None | $588.84 | $870.96 | $1,621.81 |
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 $489.78 Median $489.78 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $562.34 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $457.09 Typical High $457.09 | Professional | 51 · Multiple procedures | $331.13 | $457.09 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $181.97 Typical High $181.97 | Professional | 80 · Assistant surgeon | $131.83 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $125.89 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $93.33 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $125.89 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $125.89 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $125.89 Typical High $125.89 | Professional | AS · PA/NP assist | $93.33 | $125.89 | $125.89 |
Where North Carolina sits
The same service costs 8.5 times more in Alaska than in Kentucky. 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· 17th of 51
$1,023
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.