How much rates vary
Facilitymedian $214 · 10th to 90th $107 to $1,349Professionalmedian $380 · 10th to 90th $170 to $537
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 $169.82 Median $1,148.15 Typical High $7,943.28 | Facility | None | $169.82 | $1,148.15 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $724.44 | Professional | None | $169.82 | $169.82 | $724.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $707.95 | Facility | None | $177.83 | $275.42 | $707.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $223.87 Median $436.52 Typical High $660.69 | Professional | None | $223.87 | $436.52 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $1,737.80 | Facility | None | $131.83 | $213.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $512.86 | Professional | None | $213.80 | $363.08 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $724.44 | Professional | None | $549.54 | $549.54 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $933.25 | Facility | None | $154.88 | $245.47 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $389.05 Typical High $398.11 | Professional | None | $162.18 | $389.05 | $398.11 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $446.68 | Professional | None | $147.91 | $223.87 | $446.68 |
11 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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $70.79 Median $123.03 Typical High $467.74 | Facility | 51 · Multiple procedures | $70.79 | $123.03 | $467.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $199.53 Typical High $234.42 | Professional | 51 · Multiple procedures | $81.28 | $199.53 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $79.43 Typical High $93.33 | Professional | 80 · Assistant surgeon | $32.36 | $79.43 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $54.95 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $22.91 | $54.95 | $64.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $54.95 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $54.95 | $64.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $54.95 Typical High $64.57 | Professional | AS · PA/NP assist | $22.91 | $54.95 | $64.57 |
Where North Carolina sits
The same service costs 4.1 times more in Alaska than in Maryland. 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· 8th of 51
$363
AK $692MD $170
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.