How much rates vary
Facilitymedian $832 · 10th to 90th $204 to $3,020Professionalmedian $759 · 10th to 90th $631 to $1,549
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 $630.96 Median $691.83 Typical High $7,585.78 | Facility | None | $630.96 | $691.83 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Professional | None | $630.96 | $691.83 | $691.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $331.13 | Facility | None | $131.83 | $208.93 | $331.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,548.82 | Professional | None | $660.69 | $812.83 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,737.80 Typical High $2,238.72 | Facility | None | $645.65 | $1,737.80 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,513.56 | Professional | None | $676.08 | $758.58 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | None | $1,122.02 | $1,122.02 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $707.95 Typical High $1,548.82 | Facility | None | $165.96 | $707.95 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $851.14 | Professional | None | $660.69 | $831.76 | $851.14 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,548.82 | Professional | None | $537.03 | $676.08 | $1,548.82 |
3 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 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $489.78 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $77.62 Median $331.13 Typical High $1,071.52 | Facility | 51 · Multiple procedures | $77.62 | $331.13 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $426.58 Typical High $549.54 | Professional | 51 · Multiple procedures | $331.13 | $426.58 | $549.54 |
Where North Carolina sits
The same service costs 4.0 times more in Alaska 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
AK $5,661DE $1,425
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.