How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,000 to $17,783Professionalmedian $2,754 · 10th to 90th $1,445 to $4,266
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 $1,445.44 Median $1,479.11 Typical High $10,715.19 | Facility | None | $1,445.44 | $1,479.11 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,412.54 | $1,479.11 | $1,698.24 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6,760.83 Median $9,332.54 Typical High $29,512.09 | Facility | None | $6,760.83 | $9,332.54 | $29,512.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $4,365.16 | Professional | None | $1,778.28 | $3,235.94 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $10,715.19 Typical High $17,782.79 | Facility | None | $602.56 | $10,715.19 | $17,782.79 |
Medcost Setting Facility Modifier None Typical Low $1,548.82 Median $8,912.51 Typical High $18,620.87 | Facility | None | $1,548.82 | $8,912.51 | $18,620.87 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,570.40 | Professional | None | $1,445.44 | $1,445.44 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $17,782.79 | Facility | None | $1,380.38 | $4,365.16 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,513.56 | $2,238.72 | $3,630.78 |
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 $707.95 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $707.95 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $281.84 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,096.48 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,047.13 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $208.93 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $141.25 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $724.44 Median $724.44 Typical High $2,041.74 | Professional | 51 · Multiple procedures | $724.44 | $724.44 | $2,041.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $288.40 Typical High $812.83 | Professional | 80 · Assistant surgeon | $288.40 | $288.40 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $199.53 Typical High $562.34 | Professional | 81 · Minimal assistant surgeon | $199.53 | $199.53 | $562.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $199.53 Typical High $562.34 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $199.53 | $562.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $199.53 Typical High $562.34 | Professional | AS · PA/NP assist | $199.53 | $199.53 | $562.34 |
Where North Carolina sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 15th of 51
$3,020
AK $6,457IN $1,318
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.