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 $45.71 Median $870.96 Typical High $7,943.28 | Facility | None | $45.71 | $870.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $81.28 | Professional | None | $45.71 | $45.71 | $81.28 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,621.81 | $2,187.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $128.82 | Professional | None | $61.66 | $91.20 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,344.23 Typical High $3,467.37 | Facility | None | $457.09 | $2,344.23 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $123.03 | Professional | None | $51.29 | $66.07 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $2,398.83 | Facility | None | $371.54 | $776.25 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $91.20 | Professional | None | $56.23 | $69.18 | $91.20 |
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 $46.77 Median $64.57 Typical High $114.82 | Professional | None | $46.77 | $64.57 | $114.82 |
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 $33.88 Median $33.88 Typical High $38.90 | Professional | 54 · Surgery only | $33.88 | $33.88 | $38.90 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $186.21 Median $446.68 Typical High $1,548.82 | Facility | 51 · Multiple procedures | $186.21 | $446.68 | $1,548.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $34.67 Typical High $66.07 | Professional | 51 · Multiple procedures | $30.90 | $34.67 | $66.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $13.80 Typical High $26.92 | Professional | 80 · Assistant surgeon | $12.30 | $13.80 | $26.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $9.55 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $8.51 | $9.55 | $18.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $9.55 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $9.55 | $18.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $9.55 Typical High $18.62 | Professional | AS · PA/NP assist | $8.51 | $9.55 | $18.62 |
Where North Carolina sits
The same service costs 20.9 times more in Oklahoma than in Kentucky. 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· 22nd of 51
$83.18
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.