How much rates vary
Facilitymedian $11,749 · 10th to 90th $1,622 to $22,909Professionalmedian $16,982 · 10th to 90th $6,026 to $30,200
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 $1,584.89 Median $6,025.60 Typical High $10,964.78 | Facility | None | $1,584.89 | $6,025.60 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $5,248.07 Median $6,025.60 Typical High $6,606.93 | Professional | None | $5,248.07 | $6,025.60 | $6,606.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $8,511.38 Median $14,125.38 Typical High $21,877.62 | Facility | None | $8,511.38 | $14,125.38 | $21,877.62 |
BCBS North Carolina Setting Professional Modifier None Typical Low $11,220.18 Median $22,387.21 Typical High $30,902.95 | Professional | None | $11,220.18 | $22,387.21 | $30,902.95 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $12,302.69 Typical High $20,417.38 | Facility | None | $602.56 | $12,302.69 | $20,417.38 |
Medcost Setting Facility Modifier None Typical Low $6,309.57 Median $11,481.54 Typical High $23,988.33 | Facility | None | $6,309.57 | $11,481.54 | $23,988.33 |
Medcost Setting Professional Modifier None Typical Low $4,073.80 Median $10,000.00 Typical High $14,454.40 | Professional | None | $4,073.80 | $10,000.00 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $10,471.29 Typical High $26,302.68 | Facility | None | $1,621.81 | $10,471.29 | $26,302.68 |
United Setting Professional Modifier None Typical Low $10,000.00 Median $15,488.17 Typical High $27,542.29 | Professional | None | $10,000.00 | $15,488.17 | $27,542.29 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,951.21 Median $3,019.95 Typical High $3,090.30 | Professional | 52 · Reduced service | $2,951.21 | $3,019.95 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,174.90 Median $1,202.26 Typical High $1,230.27 | Professional | 53 · Discontinued | $1,174.90 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,365.16 Median $4,466.84 Typical High $4,677.35 | Professional | 54 · Surgery only | $4,365.16 | $4,466.84 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 55 · Aftercare only | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $588.84 Median $602.56 Typical High $616.60 | Professional | 56 · Pre-op care only | $588.84 | $602.56 | $616.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,041.74 Median $4,897.79 Typical High $13,182.57 | Professional | 51 · Multiple procedures | $2,041.74 | $4,897.79 | $13,182.57 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $812.83 Median $1,995.26 Typical High $5,248.07 | Professional | 80 · Assistant surgeon | $812.83 | $1,995.26 | $5,248.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $575.44 Median $1,380.38 Typical High $3,715.35 | Professional | 81 · Minimal assistant surgeon | $575.44 | $1,380.38 | $3,715.35 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $575.44 Median $1,380.38 Typical High $3,715.35 | Professional | 82 · Assistant surgeon, no resident | $575.44 | $1,380.38 | $3,715.35 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $575.44 Median $1,380.38 Typical High $3,715.35 | Professional | AS · PA/NP assist | $575.44 | $1,380.38 | $3,715.35 |
Where North Carolina sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 5th of 51
$14,791
IN $18,197NE $1,096
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.