How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,148 to $30,903Professionalmedian $2,188 · 10th to 90th $1,148 to $3,311
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 $1,148.15 Median $1,288.25 Typical High $8,317.64 | Facility | None | $1,148.15 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,148.15 | $1,348.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $3,467.37 | Facility | None | $1,737.80 | $2,570.40 | $3,467.37 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,380.38 | $2,238.72 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $25,703.96 Typical High $35,481.34 | Facility | None | $1,513.56 | $25,703.96 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,258.93 | $2,818.38 |
Medcost Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,819.70 | $1,819.70 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $26,915.35 | Facility | None | $1,412.54 | $2,187.76 | $26,915.35 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,348.96 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,302.69 | Facility | None | $1,047.13 | $2,398.83 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,288.25 | $2,818.38 |
8 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 $870.96 Median $870.96 Typical High $1,000.00 | Professional | 54 · Surgery only | $870.96 | $870.96 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $933.25 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $707.95 Median $1,096.48 Typical High $13,489.63 | Facility | 51 · Multiple procedures | $707.95 | $1,096.48 | $13,489.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $676.08 Typical High $1,380.38 | Professional | 51 · Multiple procedures | $645.65 | $676.08 | $1,380.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $269.15 Typical High $549.54 | Professional | 80 · Assistant surgeon | $257.04 | $269.15 | $549.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $186.21 Typical High $389.05 | Professional | 81 · Minimal assistant surgeon | $181.97 | $186.21 | $389.05 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $186.21 Typical High $389.05 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $186.21 | $389.05 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $186.21 Typical High $389.05 | Professional | AS · PA/NP assist | $181.97 | $186.21 | $389.05 |
Where North Carolina sits
The same service costs 8.5 times more in Wyoming 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.