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 $1,096.48 Median $1,288.25 Typical High $8,317.64 | Facility | None | $1,096.48 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,905.46 | $3,162.28 |
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 $1,096.48 Median $1,096.48 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,096.48 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,621.81 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Facility | None | $724.44 | $724.44 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,348.96 | $1,445.44 |
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 $933.25 Median $1,096.48 Typical High $2,089.30 | Professional | None | $933.25 | $1,096.48 | $2,089.30 |
6 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 $758.58 Median $758.58 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $724.44 Typical High $724.44 | Professional | 51 · Multiple procedures | $524.81 | $724.44 | $724.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $288.40 Typical High $288.40 | Professional | 80 · Assistant surgeon | $208.93 | $288.40 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $144.54 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $204.17 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | AS · PA/NP assist | $144.54 | $204.17 | $204.17 |
Where North Carolina sits
The same service costs 5.8 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
$1,738
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.