How much rates vary
Facilitymedian $4,467 · 10th to 90th $832 to $11,220Professionalmedian $1,175 · 10th to 90th $724 to $1,995
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 $724.44 Median $870.96 Typical High $7,943.28 | Facility | None | $724.44 | $870.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,202.26 | Professional | None | $724.44 | $724.44 | $1,202.26 |
Ambetter Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $7,079.46 | Facility | None | $2,754.23 | $4,365.16 | $7,079.46 |
BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | None | $933.25 | $1,258.93 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $6,760.83 Typical High $9,772.37 | Facility | None | $912.01 | $6,760.83 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,778.28 | Professional | None | $724.44 | $758.58 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,174.90 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $3,090.30 Typical High $7,585.78 | Facility | None | $831.76 | $3,090.30 | $7,585.78 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,202.26 | Professional | None | $870.96 | $1,047.13 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,466.84 Typical High $17,782.79 | Facility | None | $1,380.38 | $4,466.84 | $17,782.79 |
United Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,819.70 | Professional | None | $616.60 | $794.33 | $1,819.70 |
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 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $616.60 | Professional | 54 · Surgery only | $537.03 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $575.44 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,258.93 Median $4,677.35 Typical High $15,488.17 | Facility | 50 · Both sides | $1,258.93 | $4,677.35 | $15,488.17 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $416.87 Median $1,548.82 Typical High $5,248.07 | Facility | 51 · Multiple procedures | $416.87 | $1,548.82 | $5,248.07 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,621.81 Typical High $2,951.21 | Professional | 50 · Both sides | $1,318.26 | $1,621.81 | $2,951.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $549.54 Typical High $977.24 | Professional | 51 · Multiple procedures | $436.52 | $549.54 | $977.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $218.78 Typical High $389.05 | Professional | 80 · Assistant surgeon | $173.78 | $218.78 | $389.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $151.36 Typical High $275.42 | Professional | 81 · Minimal assistant surgeon | $123.03 | $151.36 | $275.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $151.36 Typical High $275.42 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $151.36 | $275.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $151.36 Typical High $275.42 | Professional | AS · PA/NP assist | $123.03 | $151.36 | $275.42 |
Where North Carolina sits
The same service costs 6.1 times more in Alaska than in Montana. 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 $14,501MT $2,377
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.