How much rates vary
Facilitymedian $1,995 · 10th to 90th $851 to $6,310Professionalmedian $1,288 · 10th to 90th $372 to $3,020
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 $1,230.27 Median $1,288.25 Typical High $8,317.64 | Facility | None | $1,230.27 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,230.27 | $1,288.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,290.87 | Facility | None | $1,148.15 | $1,698.24 | $2,290.87 |
BCBS North Carolina Setting Professional Modifier None Typical Low $371.54 Median $1,288.25 Typical High $3,019.95 | Professional | None | $371.54 | $1,288.25 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $3,890.45 | Facility | None | $645.65 | $2,630.27 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,288.25 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $3,162.28 | Facility | None | $602.56 | $977.24 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,513.56 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,398.83 | $12,022.64 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,884.03 | Professional | None | $977.24 | $1,258.93 | $2,884.03 |
13 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 $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $123.03 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $891.25 Median $1,445.44 Typical High $5,754.40 | Facility | 50 · Both sides | $891.25 | $1,445.44 | $5,754.40 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $295.12 Median $489.78 Typical High $1,905.46 | Facility | 51 · Multiple procedures | $295.12 | $489.78 | $1,905.46 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,238.72 Typical High $3,019.95 | Professional | 50 · Both sides | $1,778.28 | $2,238.72 | $3,019.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $588.84 Median $758.58 Typical High $1,023.29 | Professional | 51 · Multiple procedures | $588.84 | $758.58 | $1,023.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $302.00 Typical High $407.38 | Professional | 80 · Assistant surgeon | $234.42 | $302.00 | $407.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $165.96 Median $208.93 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $165.96 | $208.93 | $281.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $165.96 Median $208.93 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $165.96 | $208.93 | $281.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $208.93 Typical High $281.84 | Professional | AS · PA/NP assist | $165.96 | $208.93 | $281.84 |
Where North Carolina sits
The same service costs 4.8 times more in Alaska than in New York. 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· 37th of 51
$1,349
AK $5,129NY $1,072
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.