How much rates vary
Facilitymedian $234 · 10th to 90th $83 to $1,862Professionalmedian $263 · 10th to 90th $148 to $447
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 $147.91 Median $870.96 Typical High $7,943.28 | Facility | None | $147.91 | $870.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $239.88 | Professional | None | $147.91 | $147.91 | $239.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $446.68 | Professional | None | $173.78 | $288.40 | $446.68 |
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 $181.97 Median $186.21 Typical High $380.19 | Professional | None | $181.97 | $186.21 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $234.42 | Facility | None | $144.54 | $173.78 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $234.42 | Professional | None | $169.82 | $204.17 | $234.42 |
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 $123.03 Median $177.83 Typical High $363.08 | Professional | None | $123.03 | $177.83 | $363.08 |
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 $100.00 Median $102.33 Typical High $190.55 | Professional | 51 · Multiple procedures | $100.00 | $102.33 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $40.74 Typical High $75.86 | Professional | 80 · Assistant surgeon | $39.81 | $40.74 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $28.84 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $28.18 | $28.84 | $52.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $28.84 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $28.84 | $52.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $28.84 Typical High $52.48 | Professional | AS · PA/NP assist | $28.18 | $28.84 | $52.48 |
Where North Carolina sits
The same service costs 12.0 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 $3,137FL $261
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.