How much rates vary
Facilitymedian $1,445 · 10th to 90th $537 to $4,074Professionalmedian $1,514 · 10th to 90th $851 to $3,020
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 $1,023.29 Median $1,148.15 Typical High $7,943.28 | Facility | None | $1,023.29 | $1,148.15 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,698.24 | Professional | None | $1,023.29 | $1,023.29 | $1,698.24 |
BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $3,715.35 | Facility | None | $933.25 | $1,445.44 | $3,715.35 |
BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,995.26 Typical High $3,090.30 | Professional | None | $851.14 | $1,995.26 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $3,019.95 | Facility | None | $1,023.29 | $1,995.26 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,445.44 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,884.03 | Facility | None | $691.83 | $1,071.52 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,318.26 | $1,698.24 |
United Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $4,897.79 | Facility | None | $478.63 | $891.25 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,380.38 | $2,511.89 |
8 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 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | 54 · Surgery only | $776.25 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $831.76 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $346.74 Median $537.03 Typical High $1,445.44 | Facility | 51 · Multiple procedures | $346.74 | $537.03 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $660.69 Median $660.69 Typical High $1,479.11 | Professional | 51 · Multiple procedures | $660.69 | $660.69 | $1,479.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $263.03 Typical High $602.56 | Professional | 80 · Assistant surgeon | $263.03 | $263.03 | $602.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $186.21 Typical High $416.87 | Professional | 81 · Minimal assistant surgeon | $186.21 | $186.21 | $416.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $186.21 Typical High $416.87 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $186.21 | $416.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $186.21 Typical High $416.87 | Professional | AS · PA/NP assist | $186.21 | $186.21 | $416.87 |
Where North Carolina sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,428KY $2,193
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.