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 $123.03 Median $123.03 Typical High $5,248.07 | Facility | None | $123.03 | $123.03 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None | $123.03 | $123.03 | $162.18 |
BCBS North Carolina Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $316.23 | Professional | None | $131.83 | $162.18 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $2,290.87 | Facility | None | $645.65 | $870.96 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $323.59 | Professional | None | $144.54 | $173.78 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $199.53 | Facility | None | $109.65 | $123.03 | $199.53 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $173.78 | Professional | None | $120.23 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $257.04 | Professional | None | $75.86 | $112.20 | $257.04 |
6 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 $93.33 Median $93.33 Typical High $120.23 | Professional | 54 · Surgery only | $93.33 | $93.33 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $87.10 Typical High $87.10 | Professional | 51 · Multiple procedures | $60.26 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 80 · Assistant surgeon | $23.99 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $23.99 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $16.60 | $23.99 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $23.99 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $23.99 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $23.99 Typical High $23.99 | Professional | AS · PA/NP assist | $16.60 | $23.99 | $23.99 |
Where North Carolina sits
The same service costs 4.8 times more in Indiana than in Florida. 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· 40th of 51
$145
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.