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 $323.59 Median $1,380.38 Typical High $14,454.40 | Facility | None | $323.59 | $1,380.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None | $323.59 | $323.59 | $426.58 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $1,071.52 | Facility | None | $269.15 | $416.87 | $1,071.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $933.25 | Professional | None | $371.54 | $562.34 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,621.81 Typical High $2,691.53 | Facility | None | $416.87 | $1,621.81 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $630.96 | Professional | None | $309.03 | $316.23 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | None | $457.09 | $457.09 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $724.44 Typical High $2,137.96 | Facility | None | $676.08 | $724.44 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $416.87 | Professional | None | $309.03 | $389.05 | $416.87 |
Oscar Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | None | $363.08 | $363.08 | $380.19 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $645.65 | Professional | None | $269.15 | $323.59 | $645.65 |
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 78 · Unplanned return to OR Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $229.09 | $229.09 | $257.04 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $338.84 Median $363.08 Typical High $1,071.52 | Facility | 51 · Multiple procedures | $338.84 | $363.08 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $208.93 Typical High $234.42 | Professional | 51 · Multiple procedures | $154.88 | $208.93 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $83.18 Typical High $83.18 | Professional | 80 · Assistant surgeon | $61.66 | $83.18 | $83.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $43.65 | $57.54 | $57.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $57.54 | $57.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | AS · PA/NP assist | $43.65 | $57.54 | $57.54 |
Where North Carolina sits
The same service costs 5.2 times more in Alaska than in Utah. 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
$550
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.