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 $323.59 Median $323.59 Typical High $380.19 | Facility | None | $323.59 | $323.59 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | None | $302.00 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
BCBS North Carolina Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $323.59 | Professional | None | $288.40 | $302.00 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $323.59 | Facility | None | $295.12 | $295.12 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $512.86 | Professional | None | $5.37 | $5.37 | $512.86 |
United Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | None | $426.58 | $426.58 | $575.44 |
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 $2.69 Median $2.69 Typical High $501.19 | Professional | 51 · Multiple procedures | $2.69 | $2.69 | $501.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.07 Median $1.07 Typical High $199.53 | Professional | 80 · Assistant surgeon | $1.07 | $1.07 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.76 Median $0.76 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $0.76 | $0.76 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.76 Median $0.76 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $0.76 | $0.76 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.76 Median $0.76 Typical High $138.04 | Professional | AS · PA/NP assist | $0.76 | $0.76 | $138.04 |
Where North Carolina sits
The same service costs 3.7 times more in Hawaii than in Ohio. 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· 43rd of 51
$324
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.