How much rates vary
Facilitymedian $1,660 · 10th to 90th $617 to $5,754Professionalmedian $851 · 10th to 90th $468 to $1,349
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 $457.09 Median $616.60 Typical High $7,943.28 | Facility | None | $457.09 | $616.60 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | None | $457.09 | $457.09 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | None | $562.34 | $691.83 | $691.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $5,011.87 | Facility | None | $1,258.93 | $1,949.84 | $5,011.87 |
BCBS North Carolina Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,380.38 | Professional | None | $575.44 | $851.14 | $1,380.38 |
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 $549.54 Median $562.34 Typical High $1,148.15 | Professional | None | $549.54 | $562.34 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,096.48 | Professional | None | $794.33 | $794.33 | $1,096.48 |
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 $549.54 Median $588.84 Typical High $758.58 | Professional | None | $549.54 | $588.84 | $758.58 |
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 $398.11 Median $549.54 Typical High $1,148.15 | Professional | None | $398.11 | $549.54 | $1,148.15 |
6 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 $346.74 Median $346.74 Typical High $398.11 | Professional | 54 · Surgery only | $346.74 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $371.54 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,548.82 Median $2,398.83 Typical High $4,365.16 | Facility | 50 · Both sides | $1,548.82 | $2,398.83 | $4,365.16 |
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 50 · Both sides Typical Low $891.25 Median $891.25 Typical High $1,862.09 | Professional | 50 · Both sides | $891.25 | $891.25 | $1,862.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $295.12 Typical High $630.96 | Professional | 51 · Multiple procedures | $295.12 | $295.12 | $630.96 |
Where North Carolina sits
The same service costs 4.4 times more in Colorado 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
CO $6,812MT $1,536
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.