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 Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,174.90 | $1,202.26 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,071.52 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,445.44 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,348.96 | Facility | None | $1,174.90 | $1,174.90 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | None | $912.01 | $1,122.02 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,737.80 | Professional | None | $707.95 | $741.31 | $1,737.80 |
United Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,778.28 | Professional | None | $891.25 | $977.24 | $1,778.28 |
5 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 51 · Multiple procedures Typical Low $457.09 Median $562.34 Typical High $602.56 | Professional | 51 · Multiple procedures | $457.09 | $562.34 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $223.87 Typical High $239.88 | Professional | 80 · Assistant surgeon | $181.97 | $223.87 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $158.49 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $128.82 | $158.49 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $158.49 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $128.82 | $158.49 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $158.49 Typical High $169.82 | Professional | AS · PA/NP assist | $128.82 | $158.49 | $169.82 |
Where North Carolina sits
The same service costs 3.2 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· 6th of 51
$1,995
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.