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 $117.49 Median $1,000.00 Typical High $7,943.28 | Facility | None | $117.49 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
BCBS North Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,737.80 | Facility | None | $891.25 | $1,288.25 | $1,737.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $338.84 | Professional | None | $147.91 | $218.78 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $912.01 | Facility | None | $478.63 | $588.84 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $234.42 | Professional | None | $125.89 | $128.82 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $724.44 Typical High $851.14 | Facility | None | $186.21 | $724.44 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $165.96 | Professional | None | $109.65 | $151.36 | $165.96 |
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 $104.71 Median $128.82 Typical High $223.87 | Professional | None | $104.71 | $128.82 | $223.87 |
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 $87.10 Median $87.10 Typical High $102.33 | Professional | 54 · Surgery only | $87.10 | $87.10 | $102.33 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $363.08 Median $363.08 Typical High $426.58 | Facility | 51 · Multiple procedures | $363.08 | $363.08 | $426.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $83.18 Typical High $85.11 | Professional | 51 · Multiple procedures | $54.95 | $83.18 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $33.11 Typical High $33.11 | Professional | 80 · Assistant surgeon | $21.88 | $33.11 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $23.44 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $15.49 | $23.44 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $23.44 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $23.44 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $23.44 Typical High $23.44 | Professional | AS · PA/NP assist | $15.49 | $23.44 | $23.44 |
Where North Carolina sits
The same service costs 4.9 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· 10th of 51
$204
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.