How much rates vary
Facilitymedian $372 · 10th to 90th $100 to $1,995Professionalmedian $295 · 10th to 90th $209 to $525
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 $208.93 Median $281.84 Typical High $7,413.10 | Facility | None | $208.93 | $281.84 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $398.11 | Professional | None | $208.93 | $208.93 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $4,677.35 | Facility | None | $1,174.90 | $1,778.28 | $4,677.35 |
BCBS North Carolina Setting Professional Modifier None Typical Low $218.78 Median $446.68 Typical High $524.81 | Professional | None | $218.78 | $446.68 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $870.96 Typical High $2,290.87 | Facility | None | $478.63 | $870.96 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $489.78 | Professional | None | $251.19 | $275.42 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | None | $389.05 | $389.05 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $1,445.44 Typical High $1,445.44 | Facility | None | $251.19 | $1,445.44 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $295.12 | Professional | None | $204.17 | $295.12 | $295.12 |
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 $181.97 Median $223.87 Typical High $501.19 | Professional | None | $181.97 | $223.87 | $501.19 |
7 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 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 54 · Surgery only | $158.49 | $158.49 | $158.49 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $467.74 Median $724.44 Typical High $724.44 | Facility | 51 · Multiple procedures | $467.74 | $724.44 | $724.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $147.91 Typical High $186.21 | Professional | 51 · Multiple procedures | $100.00 | $147.91 | $186.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $58.88 Typical High $72.44 | Professional | 80 · Assistant surgeon | $40.74 | $58.88 | $72.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $41.69 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $28.18 | $41.69 | $50.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $41.69 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $41.69 | $50.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $41.69 Typical High $50.12 | Professional | AS · PA/NP assist | $28.18 | $41.69 | $50.12 |
Where North Carolina sits
The same service costs 10.4 times more in New York than in Delaware. 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.
Physician feeFacility fee
NY $4,200DE $405
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.