How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,000 to $10,471Professionalmedian $2,630 · 10th to 90th $1,349 to $3,715
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 $1,318.26 Median $1,318.26 Typical High $10,471.29 | Facility | None | $1,318.26 | $1,318.26 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,318.26 | $2,137.96 |
BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $5,888.44 Typical High $7,943.28 | Facility | None | $3,981.07 | $5,888.44 | $7,943.28 |
BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,818.38 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,818.38 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,365.16 Typical High $7,244.36 | Facility | None | $602.56 | $4,365.16 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $3,388.44 | Professional | None | $1,479.11 | $1,513.56 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,137.96 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $1,258.93 Typical High $8,128.31 | Facility | None | $794.33 | $1,258.93 | $8,128.31 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $2,137.96 | Professional | None | $1,412.54 | $1,698.24 | $2,137.96 |
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 $1,122.02 Median $1,445.44 Typical High $3,235.94 | Professional | None | $1,122.02 | $1,445.44 | $3,235.94 |
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 $645.65 Median $645.65 Typical High $758.58 | Professional | 52 · Reduced service | $645.65 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $151.36 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $912.01 | $912.01 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $707.95 Median $851.14 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $707.95 | $851.14 | $1,584.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $338.84 Typical High $630.96 | Professional | 80 · Assistant surgeon | $281.84 | $338.84 | $630.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $234.42 Typical High $446.68 | Professional | 81 · Minimal assistant surgeon | $199.53 | $234.42 | $446.68 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $234.42 Typical High $446.68 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $234.42 | $446.68 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $234.42 Typical High $446.68 | Professional | AS · PA/NP assist | $199.53 | $234.42 | $446.68 |
Where North Carolina sits
The same service costs 15.1 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· 8th of 51
$2,692
AK $5,370TX $355
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.