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 $1,288.25 Median $2,187.76 Typical High $8,317.64 | Facility | None | $1,288.25 | $2,187.76 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,511.89 | Professional | None | $2,187.76 | $2,187.76 | $2,511.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $6,309.57 | Professional | None | $2,398.83 | $3,890.45 | $6,309.57 |
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 $2,290.87 Median $2,290.87 Typical High $4,365.16 | Professional | None | $2,290.87 | $2,290.87 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,128.61 | Professional | None | $3,388.44 | $3,388.44 | $5,128.61 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $2,290.87 | Facility | None | $724.44 | $724.44 | $2,290.87 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,630.27 | $3,019.95 |
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 $1,819.70 Median $2,290.87 Typical High $4,168.69 | Professional | None | $1,819.70 | $2,290.87 | $4,168.69 |
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 $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,023.29 Median $1,479.11 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $1,023.29 | $1,479.11 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $602.56 Typical High $602.56 | Professional | 80 · Assistant surgeon | $416.87 | $602.56 | $602.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $288.40 Median $426.58 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $288.40 | $426.58 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $288.40 Median $426.58 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $288.40 | $426.58 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $426.58 Typical High $426.58 | Professional | AS · PA/NP assist | $288.40 | $426.58 | $426.58 |
Where North Carolina sits
The same service costs 21.9 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· 15th of 51
$3,388
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.