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 $912.01 Median $912.01 Typical High $1,230.27 | Facility | None | $912.01 | $912.01 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,621.81 | Professional | None | $891.25 | $912.01 | $1,621.81 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,862.09 | $2,570.40 |
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 $1,148.15 Median $1,318.26 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,318.26 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $4,168.69 | Facility | None | $912.01 | $1,096.48 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,258.93 | $1,548.82 |
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 $933.25 Median $1,202.26 Typical High $1,862.09 | Professional | None | $933.25 | $1,202.26 | $1,862.09 |
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 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | 52 · Reduced service | $457.09 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $181.97 | $208.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $602.56 Median $630.96 Typical High $1,348.96 | Professional | 51 · Multiple procedures | $602.56 | $630.96 | $1,348.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $239.88 Median $251.19 Typical High $537.03 | Professional | 80 · Assistant surgeon | $239.88 | $251.19 | $537.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $173.78 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $169.82 | $173.78 | $371.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $173.78 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $169.82 | $173.78 | $371.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $173.78 Typical High $371.54 | Professional | AS · PA/NP assist | $169.82 | $173.78 | $371.54 |
Where North Carolina sits
The same service costs 3.4 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· 8th of 51
$1,698
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.