How much rates vary
Facilitymedian $3,162 · 10th to 90th $646 to $15,488Professionalmedian $1,318 · 10th to 90th $851 to $2,291
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 $776.25 Median $1,000.00 Typical High $7,943.28 | Facility | None | $776.25 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | None | $776.25 | $776.25 | $912.01 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,513.56 | $2,344.23 |
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 $954.99 Median $1,000.00 Typical High $1,995.26 | Professional | None | $954.99 | $1,000.00 | $1,995.26 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Professional | None | $1,584.89 | $1,584.89 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $3,630.78 | Facility | None | $758.58 | $933.25 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,318.26 | Professional | None | $954.99 | $1,071.52 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,466.84 Typical High $17,378.01 | Facility | None | $1,380.38 | $4,466.84 | $17,378.01 |
United Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,905.46 | Professional | None | $676.08 | $933.25 | $1,905.46 |
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 $389.05 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $389.05 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $154.88 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $676.08 | Professional | 54 · Surgery only | $588.84 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $91.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $537.03 Typical High $933.25 | Professional | 51 · Multiple procedures | $537.03 | $537.03 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $213.80 Typical High $371.54 | Professional | 80 · Assistant surgeon | $213.80 | $213.80 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $151.36 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $147.91 | $151.36 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $151.36 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $151.36 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $151.36 Typical High $263.03 | Professional | AS · PA/NP assist | $147.91 | $151.36 | $263.03 |
Where North Carolina sits
The same service costs 4.6 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.
Physician feeFacility fee
AK $9,843KY $2,122
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.