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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | None | $147.91 | $190.55 | $190.55 |
BCBS North Carolina Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $165.96 | Professional | None | $151.36 | $154.88 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $323.59 | Facility | None | $169.82 | $190.55 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $204.17 | Facility | None | $190.55 | $190.55 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $141.25 | Professional | None | $3.72 | $3.72 | $141.25 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $1.82 Median $1.82 Typical High $69.18 | Professional | 51 · Multiple procedures | $1.82 | $1.82 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.74 Median $0.74 Typical High $28.18 | Professional | 80 · Assistant surgeon | $0.74 | $0.74 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.52 Median $0.52 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $0.52 | $0.52 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.52 Median $0.52 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $0.52 | $0.52 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.52 Median $0.52 Typical High $19.50 | Professional | AS · PA/NP assist | $0.52 | $0.52 | $19.50 |
Where North Carolina sits
The same service costs 3.9 times more in New York than in Kentucky. 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· 33rd of 51
$155
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.