How much rates vary
Facilitymedian $2,344 · 10th to 90th $562 to $6,026Professionalmedian $288 · 10th to 90th $148 to $661
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 $138.04 Median $269.15 Typical High $7,943.28 | Facility | None | $138.04 | $269.15 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $281.84 | Professional | None | $138.04 | $229.09 | $281.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,548.13 | Facility | None | $1,778.28 | $2,630.27 | $3,548.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $177.83 Median $338.84 Typical High $724.44 | Professional | None | $177.83 | $338.84 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,344.23 Typical High $3,801.89 | Facility | None | $602.56 | $2,344.23 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $549.54 | Professional | None | $147.91 | $208.93 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $2,089.30 Typical High $2,344.23 | Facility | None | $323.59 | $2,089.30 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $436.52 | Professional | None | $257.04 | $331.13 | $436.52 |
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 $138.04 Median $263.03 Typical High $549.54 | Professional | None | $138.04 | $263.03 | $549.54 |
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 $69.18 Median $85.11 Typical High $134.90 | Professional | 52 · Reduced service | $69.18 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $34.67 Typical High $53.70 | Professional | 53 · Discontinued | $27.54 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $128.82 Typical High $204.17 | Professional | 54 · Surgery only | $104.71 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $25.70 Typical High $40.74 | Professional | 55 · Aftercare only | $20.89 | $25.70 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.98 Typical High $26.92 | Professional | 56 · Pre-op care only | $13.80 | $16.98 | $26.92 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $2,290.87 Median $3,548.13 Typical High $4,265.80 | Facility | 50 · Both sides | $2,290.87 | $3,548.13 | $4,265.80 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $758.58 Median $1,174.90 Typical High $1,412.54 | Facility | 51 · Multiple procedures | $758.58 | $1,174.90 | $1,412.54 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $524.81 Typical High $1,202.26 | Professional | 50 · Both sides | $389.05 | $524.81 | $1,202.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $173.78 Typical High $398.11 | Professional | 51 · Multiple procedures | $128.82 | $173.78 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $69.18 Typical High $158.49 | Professional | 80 · Assistant surgeon | $51.29 | $69.18 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $48.98 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $36.31 | $48.98 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $48.98 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $48.98 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $48.98 Typical High $112.20 | Professional | AS · PA/NP assist | $36.31 | $48.98 | $112.20 |
Where North Carolina sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 21st of 51
$309
AK $955HI $166
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.