How much rates vary
Facilitymedian $347 · 10th to 90th $81 to $1,862Professionalmedian $1,479 · 10th to 90th $776 to $2,089
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 $741.31 Median $1,288.25 Typical High $7,943.28 | Facility | None | $741.31 | $1,288.25 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $1,174.90 | Professional | None | $724.44 | $741.31 | $1,174.90 |
BCBS North Carolina Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $2,137.96 | Professional | None | $954.99 | $1,698.24 | $2,137.96 |
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 $891.25 Median $912.01 Typical High $1,862.09 | Professional | None | $891.25 | $912.01 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $1,174.90 | Facility | None | $724.44 | $741.31 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,122.02 | Professional | None | $851.14 | $977.24 | $1,122.02 |
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 $602.56 Median $870.96 Typical High $1,819.70 | Professional | None | $602.56 | $870.96 | $1,819.70 |
10 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 $371.54 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $371.54 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $147.91 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | 54 · Surgery only | $549.54 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $489.78 Median $489.78 Typical High $870.96 | Professional | 51 · Multiple procedures | $489.78 | $489.78 | $870.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $194.98 Typical High $354.81 | Professional | 80 · Assistant surgeon | $194.98 | $194.98 | $354.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $138.04 | $138.04 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $138.04 | $138.04 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $138.04 Typical High $245.47 | Professional | AS · PA/NP assist | $138.04 | $138.04 | $245.47 |
Where North Carolina sits
The same service costs 4.7 times more in Alaska 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.
North Carolina· 5th of 51
$1,413
AK $3,020FL $646
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.