How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,413 to $6,761Professionalmedian $5,623 · 10th to 90th $3,020 to $9,333
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 $3,019.95 Median $3,019.95 Typical High $6,760.83 | Facility | None | $3,019.95 | $3,019.95 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $3,630.78 | Professional | None | $2,818.38 | $3,019.95 | $3,630.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $4,786.30 | Facility | None | $2,398.83 | $3,548.13 | $4,786.30 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $9,772.37 | Professional | None | $3,981.07 | $6,606.93 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,187.76 Typical High $3,548.13 | Facility | None | $602.56 | $2,187.76 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $5,128.61 Typical High $8,912.51 | Professional | None | $3,388.44 | $5,128.61 | $8,912.51 |
Medcost Setting Facility Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $3,235.94 | Facility | None | $1,698.24 | $3,162.28 | $3,235.94 |
Medcost Setting Professional Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $4,570.88 | Professional | None | $3,162.28 | $3,981.07 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $7,079.46 | Professional | None | $1,995.26 | $3,019.95 | $7,079.46 |
11 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 $1,412.54 Median $1,513.56 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,412.54 | $1,513.56 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $602.56 Typical High $741.31 | Professional | 53 · Discontinued | $562.34 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $457.09 Typical High $549.54 | Professional | 55 · Aftercare only | $416.87 | $457.09 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $302.00 Typical High $363.08 | Professional | 56 · Pre-op care only | $281.84 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,137.96 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,137.96 | $2,570.40 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $851.14 Median $1,288.25 Typical High $1,584.89 | Facility | 51 · Multiple procedures | $851.14 | $1,288.25 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,862.09 Median $1,995.26 Typical High $3,890.45 | Professional | 51 · Multiple procedures | $1,862.09 | $1,995.26 | $3,890.45 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $794.33 Median $794.33 Typical High $1,548.82 | Professional | 80 · Assistant surgeon | $794.33 | $794.33 | $1,548.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $562.34 Median $562.34 Typical High $1,096.48 | Professional | 81 · Minimal assistant surgeon | $562.34 | $562.34 | $1,096.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $562.34 Median $562.34 Typical High $1,096.48 | Professional | 82 · Assistant surgeon, no resident | $562.34 | $562.34 | $1,096.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $562.34 Median $562.34 Typical High $1,096.48 | Professional | AS · PA/NP assist | $562.34 | $562.34 | $1,096.48 |
Where North Carolina sits
The same service costs 21.4 times more in Alaska 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.
North Carolina· 9th of 51
$5,370
AK $13,804KY $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.