How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $645.65 | Professional | None (both parts) | $151.36 | $177.83 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $338.84 Typical High $549.54 | Facility | None | $107.15 | $338.84 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $87.10 | $100.00 | $112.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $251.19 | Professional | None (both parts) | $15.85 | $15.85 | $251.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.94 Median $7.94 Typical High $125.89 | Professional | 51 · Multiple procedures | $7.94 | $7.94 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.24 Median $3.24 Typical High $50.12 | Professional | 80 · Assistant surgeon | $3.24 | $3.24 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.24 Median $2.24 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $2.24 | $2.24 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.24 Median $2.24 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $2.24 | $2.24 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.24 Median $2.24 Typical High $34.67 | Professional | AS · PA/NP assist | $2.24 | $2.24 | $34.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
1 more rate 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 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 26 · Professional part | $6.46 | $6.46 | $6.46 |
Where North Carolina sits
The same service costs 20.9 times more in New Hampshire than in Delaware. 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· 39th of 51
$100
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.