How much rates vary
Facilitymedian $224 · 10th to 90th $81 to $1,862Professionalmedian $151 · 10th to 90th $79 to $257
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 $83.18 Median $870.96 Typical High $7,943.28 | Facility | None | $83.18 | $870.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $147.91 | Professional | None | $83.18 | $83.18 | $147.91 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $257.04 | Professional | None | $79.43 | $169.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $2,187.76 | Facility | None | $478.63 | $645.65 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $218.78 | Professional | None | $104.71 | $107.15 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $131.83 | Facility | None | $79.43 | $95.50 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $134.90 | Professional | None | $97.72 | $117.49 | $134.90 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $204.17 | Professional | None | $70.79 | $102.33 | $204.17 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $58.88 Typical High $102.33 | Professional | 51 · Multiple procedures | $56.23 | $58.88 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $23.44 Typical High $41.69 | Professional | 80 · Assistant surgeon | $22.39 | $23.44 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $16.60 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $15.85 | $16.60 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $16.60 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $16.60 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $16.60 Typical High $28.84 | Professional | AS · PA/NP assist | $15.85 | $16.60 | $28.84 |
Where North Carolina sits
The same service costs 16.0 times more in Utah than in Florida. 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
UT $3,016FL $188
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.