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 $724.44 Median $724.44 Typical High $851.14 | Facility | None | $724.44 | $724.44 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $776.25 | Professional | None | $691.83 | $724.44 | $776.25 |
BCBS North Carolina Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $602.56 | Professional | None | $537.03 | $549.54 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Medcost Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $724.44 | Facility | None | $707.95 | $707.95 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,230.27 | Professional | None | $575.44 | $870.96 | $1,230.27 |
United Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Professional | None | $891.25 | $891.25 | $1,148.15 |
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 $20.89 Median $288.40 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $20.89 | $288.40 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $128.82 Typical High $426.58 | Professional | 80 · Assistant surgeon | $104.71 | $128.82 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $123.03 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $81.28 | $123.03 | $302.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $123.03 Typical High $302.00 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $123.03 | $302.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $123.03 Typical High $302.00 | Professional | AS · PA/NP assist | $81.28 | $123.03 | $302.00 |
Where North Carolina sits
The same service costs 2.6 times more in Indiana than in New Mexico. 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· 49th of 51
$724
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.