How much rates vary
Facilitymedian $2,399 · 10th to 90th $589 to $7,586Professionalmedian $776 · 10th to 90th $550 to $1,585
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 $549.54 Median $1,148.15 Typical High $7,943.28 | Facility | None | $549.54 | $1,148.15 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $7,079.46 | Facility | None | $1,778.28 | $2,754.23 | $7,079.46 |
BCBS North Carolina Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,584.89 | Professional | None | $588.84 | $912.01 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $4,570.88 | Facility | None | $602.56 | $3,090.30 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $1,348.96 | Professional | None | $588.84 | $616.60 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,318.26 | Professional | None | $891.25 | $891.25 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $977.24 Typical High $2,454.71 | Facility | None | $549.54 | $977.24 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $933.25 | Professional | None | $616.60 | $676.08 | $933.25 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,398.83 | $12,022.64 |
United Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $1,380.38 | Professional | None | $467.74 | $602.56 | $1,380.38 |
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 $275.42 Median $275.42 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | 54 · Surgery only | $416.87 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $446.68 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $2,137.96 Typical High $5,011.87 | Facility | 50 · Both sides | $776.25 | $2,137.96 | $5,011.87 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $263.03 Median $707.95 Typical High $1,698.24 | Facility | 51 · Multiple procedures | $263.03 | $707.95 | $1,698.24 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,023.29 Typical High $2,041.74 | Professional | 50 · Both sides | $912.01 | $1,023.29 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $338.84 Typical High $676.08 | Professional | 51 · Multiple procedures | $302.00 | $338.84 | $676.08 |
Where North Carolina sits
The same service costs 7.9 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· 23rd of 51
$832
AK $2,344TX $295
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.