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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,073.80 | Professional | None | $3,981.07 | $3,981.07 | $4,073.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $3,981.07 | Professional | None | $3,235.94 | $3,388.44 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $5,495.41 Typical High $9,120.11 | Facility | None | $4,897.79 | $5,495.41 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Medcost Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,168.69 | Facility | None | $3,981.07 | $3,981.07 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $7,585.78 | Professional | None | $2,137.96 | $2,137.96 | $7,585.78 |
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 $1,071.52 Median $1,071.52 Typical High $5,370.32 | Professional | 51 · Multiple procedures | $1,071.52 | $1,071.52 | $5,370.32 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $436.52 Median $436.52 Typical High $2,187.76 | Professional | 80 · Assistant surgeon | $436.52 | $436.52 | $2,187.76 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $302.00 Typical High $1,513.56 | Professional | 81 · Minimal assistant surgeon | $302.00 | $302.00 | $1,513.56 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $302.00 Typical High $1,513.56 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $302.00 | $1,513.56 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $302.00 Typical High $1,513.56 | Professional | AS · PA/NP assist | $302.00 | $302.00 | $1,513.56 |
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· 38th of 51
$4,169
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.