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 $158.49 Median $741.31 Typical High $7,413.10 | Facility | None | $158.49 | $741.31 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $707.95 Typical High $891.25 | Professional | None | $158.49 | $707.95 | $891.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $371.54 Median $575.44 Typical High $1,479.11 | Facility | None | $371.54 | $575.44 | $1,479.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $281.84 Median $1,348.96 Typical High $1,995.26 | Professional | None | $281.84 | $1,348.96 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $954.99 Typical High $1,548.82 | Facility | None | $416.87 | $954.99 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $776.25 Typical High $1,445.44 | Professional | None | $204.17 | $776.25 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $1,230.27 | Facility | None | $316.23 | $489.78 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,288.25 | Professional | None | $851.14 | $1,023.29 | $1,288.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $8,709.64 | Facility | None | $851.14 | $1,698.24 | $8,709.64 |
United Setting Professional Modifier None Typical Low $169.82 Median $575.44 Typical High $1,445.44 | Professional | None | $169.82 | $575.44 | $1,445.44 |
9 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 $117.49 Median $218.78 Typical High $602.56 | Professional | 54 · Surgery only | $117.49 | $218.78 | $602.56 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $467.74 Median $724.44 Typical High $2,454.71 | Facility | 50 · Both sides | $467.74 | $724.44 | $2,454.71 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $158.49 Median $245.47 Typical High $812.83 | Facility | 51 · Multiple procedures | $158.49 | $245.47 | $812.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,905.46 Typical High $3,090.30 | Professional | 50 · Both sides | $1,479.11 | $1,905.46 | $3,090.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $489.78 Median $630.96 Typical High $1,023.29 | Professional | 51 · Multiple procedures | $489.78 | $630.96 | $1,023.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $257.04 Typical High $407.38 | Professional | 80 · Assistant surgeon | $194.98 | $257.04 | $407.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $138.04 Median $177.83 Typical High $288.40 | Professional | 81 · Minimal assistant surgeon | $138.04 | $177.83 | $288.40 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $138.04 Median $177.83 Typical High $288.40 | Professional | 82 · Assistant surgeon, no resident | $138.04 | $177.83 | $288.40 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $177.83 Typical High $288.40 | Professional | AS · PA/NP assist | $138.04 | $177.83 | $288.40 |
Where North Carolina sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 9th of 51
$955
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.