How much rates vary
Facilitymedian $1,202 · 10th to 90th $513 to $3,548Professionalmedian $759 · 10th to 90th $316 to $1,445
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 $512.86 Median $1,148.15 Typical High $7,943.28 | Facility | None | $512.86 | $1,148.15 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | None | $512.86 | $512.86 | $645.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $4,073.80 | Facility | None | $1,023.29 | $1,621.81 | $4,073.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $316.23 Median $870.96 Typical High $1,479.11 | Professional | None | $316.23 | $870.96 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,548.82 Typical High $1,905.46 | Facility | None | $645.65 | $1,548.82 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $1,258.93 | Professional | None | $501.19 | $537.03 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,202.26 | Professional | None | $794.33 | $794.33 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $1,445.44 | Facility | None | $512.86 | $831.76 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $831.76 | Professional | None | $602.56 | $660.69 | $831.76 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $1,288.25 | Professional | None | $426.58 | $549.54 | $1,288.25 |
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 $380.19 Median $380.19 Typical High $436.52 | Professional | 54 · Surgery only | $380.19 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $407.38 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $1,412.54 Typical High $3,162.28 | Facility | 50 · Both sides | $776.25 | $1,412.54 | $3,162.28 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $257.04 Median $467.74 Typical High $1,047.13 | Facility | 51 · Multiple procedures | $257.04 | $467.74 | $1,047.13 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,148.15 Typical High $1,862.09 | Professional | 50 · Both sides | $891.25 | $1,148.15 | $1,862.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $380.19 Typical High $630.96 | Professional | 51 · Multiple procedures | $302.00 | $380.19 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $151.36 Typical High $251.19 | Professional | 80 · Assistant surgeon | $120.23 | $151.36 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $107.15 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $83.18 | $107.15 | $173.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $107.15 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $107.15 | $173.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $107.15 Typical High $173.78 | Professional | AS · PA/NP assist | $83.18 | $107.15 | $173.78 |
Where North Carolina sits
The same service costs 8.1 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· 21st of 51
$759
AK $2,138TX $263
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.