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 $1,548.82 Median $1,548.82 Typical High $1,862.09 | Facility | None | $1,548.82 | $1,548.82 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,548.82 | $1,659.59 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,318.26 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $3,715.35 | Facility | None | $1,995.26 | $2,238.72 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,089.30 | Facility | None | $1,548.82 | $1,548.82 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $2,754.23 | Professional | None | $707.95 | $977.24 | $2,754.23 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,698.24 | $2,238.72 |
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 $43.65 Median $354.81 Typical High $2,187.76 | Professional | 51 · Multiple procedures | $43.65 | $354.81 | $2,187.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $141.25 Typical High $870.96 | Professional | 80 · Assistant surgeon | $17.38 | $141.25 | $870.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $100.00 Typical High $616.60 | Professional | 81 · Minimal assistant surgeon | $12.30 | $100.00 | $616.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $100.00 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $100.00 | $616.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $100.00 Typical High $616.60 | Professional | AS · PA/NP assist | $12.30 | $100.00 | $616.60 |
Where North Carolina sits
The same service costs 1.7 times more in Alaska 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· 43rd of 51
$1,698
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.