How much rates vary
Facilitymedian $389 · 10th to 90th $120 to $1,096Professionalmedian $407 · 10th to 90th $257 to $813
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 $257.04 Median $389.05 Typical High $4,365.16 | Facility | None | $257.04 | $389.05 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $630.96 | Professional | None | $257.04 | $389.05 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $338.84 Typical High $371.54 | Professional | None | $181.97 | $338.84 | $371.54 |
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 $275.42 Median $407.38 Typical High $831.76 | Professional | None | $275.42 | $407.38 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,737.80 | Facility | None | $263.03 | $426.58 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $812.83 | Professional | None | $288.40 | $407.38 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $933.25 | Facility | None | $257.04 | $478.63 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $478.63 | Professional | None | $371.54 | $467.74 | $478.63 |
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 $239.88 Median $363.08 Typical High $741.31 | Professional | None | $239.88 | $363.08 | $741.31 |
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 $190.55 Median $251.19 Typical High $288.40 | Professional | 54 · Surgery only | $190.55 | $251.19 | $288.40 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $77.62 Median $251.19 Typical High $467.74 | Facility | 51 · Multiple procedures | $77.62 | $251.19 | $467.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $239.88 Typical High $316.23 | Professional | 51 · Multiple procedures | $186.21 | $239.88 | $316.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $95.50 Typical High $128.82 | Professional | 80 · Assistant surgeon | $74.13 | $95.50 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $51.29 | $67.61 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $67.61 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | AS · PA/NP assist | $51.29 | $67.61 | $89.13 |
Where North Carolina sits
The same service costs 5.5 times more in New York 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.
Physician feeFacility fee
NY $3,002MD $549
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.