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 $407.38 Median $616.60 Typical High $11,220.18 | Facility | None | $407.38 | $616.60 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
BCBS North Carolina Setting Professional Modifier None Typical Low $467.74 Median $741.31 Typical High $1,174.90 | Professional | None | $467.74 | $741.31 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $851.14 | Professional | None | $426.58 | $446.68 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $575.44 | Professional | None | $389.05 | $549.54 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $12,882.50 Typical High $23,988.33 | Facility | None | $7,943.28 | $12,882.50 | $23,988.33 |
United Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $776.25 | Professional | None | $354.81 | $436.52 | $776.25 |
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 $309.03 Median $309.03 Typical High $363.08 | Professional | 54 · Surgery only | $309.03 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $281.84 Typical High $398.11 | Professional | 51 · Multiple procedures | $194.98 | $281.84 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $77.62 Median $112.20 Typical High $134.90 | Professional | 80 · Assistant surgeon | $77.62 | $112.20 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $79.43 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $53.70 | $79.43 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $79.43 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $79.43 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $79.43 Typical High $93.33 | Professional | AS · PA/NP assist | $53.70 | $79.43 | $93.33 |
Where North Carolina sits
The same service costs 4.4 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· 13th 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.