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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,467.37 | $3,548.13 | $3,548.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,884.03 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $5,248.07 Typical High $7,413.10 | Facility | None | $4,897.79 | $5,248.07 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $3,981.07 Typical High $5,623.41 | Professional | None | $2,691.53 | $3,981.07 | $5,623.41 |
United Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,495.41 | Professional | None | $4,168.69 | $4,168.69 | $5,495.41 |
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 $107.15 Median $1,348.96 Typical High $5,370.32 | Professional | 51 · Multiple procedures | $107.15 | $1,348.96 | $5,370.32 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $537.03 Typical High $2,137.96 | Professional | 80 · Assistant surgeon | $42.66 | $537.03 | $2,137.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $371.54 Typical High $1,479.11 | Professional | 81 · Minimal assistant surgeon | $30.20 | $371.54 | $1,479.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $371.54 Typical High $1,479.11 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $371.54 | $1,479.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $371.54 Typical High $1,479.11 | Professional | AS · PA/NP assist | $30.20 | $371.54 | $1,479.11 |
Where North Carolina sits
The same service costs 1.9 times more in Alaska than in Indiana. 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· 48th of 51
$3,548
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.