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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
BCBS North Carolina Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $239.88 | Professional | None | $181.97 | $190.55 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $645.65 | Facility | None | $346.74 | $389.05 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $257.04 | Facility | None | $245.47 | $245.47 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $478.63 | Professional | None | $4.68 | $4.68 | $478.63 |
United Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None | $302.00 | $302.00 | $389.05 |
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 $2.34 Median $2.34 Typical High $346.74 | Professional | 51 · Multiple procedures | $2.34 | $2.34 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.93 Median $0.93 Typical High $138.04 | Professional | 80 · Assistant surgeon | $0.93 | $0.93 | $138.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.66 Median $0.66 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $0.66 | $0.66 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.66 Median $0.66 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $0.66 | $0.66 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.66 Median $0.66 Typical High $97.72 | Professional | AS · PA/NP assist | $0.66 | $0.66 | $97.72 |
Where North Carolina sits
The same service costs 1.9 times more in Indiana than in Minnesota. 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· 45th of 51
$302
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.