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 $691.83 Median $1,348.96 Typical High $10,964.78 | Facility | None | $691.83 | $1,348.96 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,348.96 | Professional | None | $691.83 | $691.83 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,235.94 Median $4,466.84 Typical High $13,803.84 | Facility | None | $3,235.94 | $4,466.84 | $13,803.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $2,290.87 | Professional | None | $645.65 | $977.24 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,235.94 Typical High $5,370.32 | Facility | None | $602.56 | $3,235.94 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,548.82 | Professional | None | $812.83 | $954.99 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $3,311.31 Typical High $6,456.54 | Facility | None | $831.76 | $3,311.31 | $6,456.54 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $954.99 | Professional | None | $676.08 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,479.11 | Professional | None | $616.60 | $812.83 | $1,479.11 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,445.44 Typical High $1,445.44 | Professional | 50 · Both sides | $1,000.00 | $1,445.44 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $478.63 Typical High $478.63 | Professional | 51 · Multiple procedures | $331.13 | $478.63 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $190.55 Typical High $190.55 | Professional | 80 · Assistant surgeon | $134.90 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $134.90 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $93.33 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $134.90 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $134.90 | $134.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $134.90 Typical High $134.90 | Professional | AS · PA/NP assist | $93.33 | $134.90 | $134.90 |
Where North Carolina sits
The same service costs 6.2 times more in Alaska than in New York. 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· 34th 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.