How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,000 to $5,248Professionalmedian $2,692 · 10th to 90th $1,318 to $3,715
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 $1,230.27 Median $1,288.25 Typical High $8,317.64 | Facility | None | $1,230.27 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,230.27 | $1,230.27 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,511.89 | Facility | None | $1,230.27 | $1,862.09 | $2,511.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $3,715.35 | Professional | None | $1,584.89 | $2,691.53 | $3,715.35 |
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 $1,479.11 Median $1,548.82 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,548.82 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
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 $1,513.56 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,621.81 | $2,041.74 |
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 $1,071.52 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,513.56 | $3,019.95 |
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 $933.25 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,000.00 |
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 $2,454.71 Median $2,454.71 Typical High $4,365.16 | Professional | 50 · Both sides | $2,454.71 | $2,454.71 | $4,365.16 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $812.83 Median $812.83 Typical High $1,479.11 | Professional | 51 · Multiple procedures | $812.83 | $812.83 | $1,479.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $323.59 Typical High $588.84 | Professional | 80 · Assistant surgeon | $323.59 | $323.59 | $588.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $229.09 Median $229.09 Typical High $407.38 | Professional | 81 · Minimal assistant surgeon | $229.09 | $229.09 | $407.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $229.09 Median $229.09 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $229.09 | $229.09 | $407.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $229.09 Typical High $407.38 | Professional | AS · PA/NP assist | $229.09 | $229.09 | $407.38 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.