How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,585 to $10,715Professionalmedian $3,631 · 10th to 90th $2,344 to $7,413
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 $1,584.89 Median $2,754.23 Typical High $10,471.29 | Facility | None | $1,584.89 | $2,754.23 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $3,235.94 | Professional | None | $2,691.53 | $2,754.23 | $3,235.94 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $6,309.57 | Facility | None | $3,090.30 | $4,570.88 | $6,309.57 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,344.23 Median $4,365.16 Typical High $7,413.10 | Professional | None | $2,344.23 | $4,365.16 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,370.32 Typical High $8,709.64 | Facility | None | $741.31 | $5,370.32 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,951.21 Typical High $6,165.95 | Professional | None | $2,884.03 | $2,951.21 | $6,165.95 |
Medcost Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $6,456.54 | Professional | None | $4,466.84 | $4,466.84 | $6,456.54 |
Medcost Setting Facility Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $7,413.10 | Facility | None | $2,691.53 | $4,168.69 | $7,413.10 |
Medcost Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,570.88 | Professional | None | $3,090.30 | $3,090.30 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,265.80 Typical High $17,782.79 | Facility | None | $1,380.38 | $4,265.80 | $17,782.79 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $6,760.83 | Professional | None | $2,290.87 | $2,951.21 | $6,760.83 |
12 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 $1,380.38 Median $1,380.38 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | 53 · Discontinued | $549.54 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,089.30 Typical High $2,398.83 | Professional | 54 · Surgery only | $2,089.30 | $2,089.30 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $1,949.84 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,949.84 | $1,949.84 | $2,238.72 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $1,318.26 Median $2,089.30 Typical High $3,715.35 | Facility | 51 · Multiple procedures | $1,318.26 | $2,089.30 | $3,715.35 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,548.82 Median $1,548.82 Typical High $3,311.31 | Professional | 51 · Multiple procedures | $1,548.82 | $1,548.82 | $3,311.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $616.60 Median $616.60 Typical High $1,318.26 | Professional | 80 · Assistant surgeon | $616.60 | $616.60 | $1,318.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $426.58 Median $436.52 Typical High $933.25 | Professional | 81 · Minimal assistant surgeon | $426.58 | $436.52 | $933.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $426.58 Median $436.52 Typical High $933.25 | Professional | 82 · Assistant surgeon, no resident | $426.58 | $436.52 | $933.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $426.58 Median $436.52 Typical High $933.25 | Professional | AS · PA/NP assist | $426.58 | $436.52 | $933.25 |
Where North Carolina sits
The same service costs 19.5 times more in Alaska than in Texas. 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· 19th of 51
$3,802
AK $11,482TX $589
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.