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 $58.88 Median $58.88 Typical High $9,772.37 | Facility | None | $58.88 | $58.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | None | $58.88 | $58.88 | $60.26 |
BCBS North Carolina Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $165.96 | Professional | None | $77.62 | $141.25 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $169.82 | Professional | None | $64.57 | $87.10 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $151.36 Typical High $151.36 | Facility | None | $58.88 | $151.36 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $102.33 | Professional | None | $47.86 | $66.07 | $102.33 |
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 $60.26 Median $87.10 Typical High $151.36 | Professional | None | $60.26 | $87.10 | $151.36 |
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 $42.66 Median $43.65 Typical High $43.65 | Professional | 54 · Surgery only | $42.66 | $43.65 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.99 Median $33.11 Typical High $79.43 | Professional | 51 · Multiple procedures | $23.99 | $33.11 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $13.18 Typical High $31.62 | Professional | 80 · Assistant surgeon | $9.55 | $13.18 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $9.33 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $6.76 | $9.33 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $9.33 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $9.33 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $9.33 Typical High $22.39 | Professional | AS · PA/NP assist | $6.76 | $9.33 | $22.39 |
Where North Carolina sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 9th of 51
$107
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.