How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,000 to $5,248Professionalmedian $2,188 · 10th to 90th $1,072 to $2,951
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 $1,288.25 Typical High $8,317.64 | Facility | None | $1,023.29 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,023.29 | $1,202.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,511.89 | Facility | None | $1,230.27 | $1,819.70 | $2,511.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $3,019.95 | Professional | None | $1,288.25 | $2,570.40 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $3,235.94 | Facility | None | $1,202.26 | $2,041.74 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,288.25 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,884.03 | Facility | None | $1,023.29 | $1,584.89 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,348.96 | $1,698.24 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $9,120.11 | Facility | None | $851.14 | $1,698.24 | $9,120.11 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $2,570.40 | Professional | None | $891.25 | $1,230.27 | $2,570.40 |
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 $512.86 Median $794.33 Typical High $1,445.44 | Facility | 51 · Multiple procedures | $512.86 | $794.33 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $676.08 Typical High $1,258.93 | Professional | 51 · Multiple procedures | $676.08 | $676.08 | $1,258.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $269.15 Typical High $501.19 | Professional | 80 · Assistant surgeon | $269.15 | $269.15 | $501.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $190.55 Typical High $346.74 | Professional | 81 · Minimal assistant surgeon | $190.55 | $190.55 | $346.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $190.55 Typical High $346.74 | Professional | 82 · Assistant surgeon, no resident | $190.55 | $190.55 | $346.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $190.55 Typical High $346.74 | Professional | AS · PA/NP assist | $190.55 | $190.55 | $346.74 |
Where North Carolina sits
The same service costs 3.6 times more in Wisconsin 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
WI $8,126KY $2,271
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.