How much rates vary
Facilitymedian $1,660 · 10th to 90th $562 to $5,754Professionalmedian $661 · 10th to 90th $417 to $1,202
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 $407.38 Median $562.34 Typical High $7,943.28 | Facility | None | $407.38 | $562.34 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $724.44 | Professional | None | $407.38 | $407.38 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $575.44 | Professional | None | $436.52 | $575.44 | $575.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $5,011.87 | Facility | None | $1,258.93 | $1,995.26 | $5,011.87 |
BCBS North Carolina Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,230.27 | Professional | None | $512.86 | $741.31 | $1,230.27 |
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 $489.78 Median $501.19 Typical High $1,023.29 | Professional | None | $489.78 | $501.19 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $977.24 | Professional | None | $691.83 | $691.83 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,778.28 | Facility | None | $1,023.29 | $1,584.89 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $676.08 | Professional | None | $501.19 | $524.81 | $676.08 |
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 $354.81 Median $489.78 Typical High $1,023.29 | Professional | None | $354.81 | $489.78 | $1,023.29 |
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 $309.03 Median $309.03 Typical High $354.81 | Professional | 54 · Surgery only | $309.03 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $331.13 |
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 $794.33 Median $794.33 Typical High $1,659.59 | Professional | 50 · Both sides | $794.33 | $794.33 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $263.03 Median $263.03 Typical High $562.34 | Professional | 51 · Multiple procedures | $263.03 | $263.03 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $107.15 Typical High $223.87 | Professional | 80 · Assistant surgeon | $107.15 | $107.15 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $74.13 | $74.13 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $74.13 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $74.13 Typical High $154.88 | Professional | AS · PA/NP assist | $74.13 | $74.13 | $154.88 |
Where North Carolina sits
The same service costs 4.9 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 $6,755MT $1,384
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.