How much rates vary
Facilitymedian $1,995 · 10th to 90th $851 to $6,457Professionalmedian $933 · 10th to 90th $759 to $2,188
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 $891.25 Median $1,288.25 Typical High $8,317.64 | Facility | None | $891.25 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Professional | None | $891.25 | $891.25 | $1,047.13 |
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 $758.58 Median $933.25 Typical High $2,187.76 | Professional | None | $758.58 | $933.25 | $2,187.76 |
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 $870.96 Median $954.99 Typical High $1,949.84 | Professional | None | $870.96 | $954.99 | $1,949.84 |
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 $851.14 Median $1,096.48 Typical High $1,258.93 | Professional | None | $851.14 | $1,096.48 | $1,258.93 |
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 $707.95 Median $891.25 Typical High $2,089.30 | Professional | None | $707.95 | $891.25 | $2,089.30 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
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 $1,288.25 Median $1,621.81 Typical High $2,187.76 | Professional | 50 · Both sides | $1,288.25 | $1,621.81 | $2,187.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $426.58 Median $549.54 Typical High $741.31 | Professional | 51 · Multiple procedures | $426.58 | $549.54 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $218.78 Typical High $295.12 | Professional | 80 · Assistant surgeon | $169.82 | $218.78 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $120.23 | $151.36 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $151.36 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | AS · PA/NP assist | $120.23 | $151.36 | $204.17 |
Where North Carolina sits
The same service costs 5.0 times more in Alaska than in Kentucky. 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
$1,047
AK $3,715KY $741
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.