How much rates vary
Facilitymedian $1,585 · 10th to 90th $479 to $4,571Professionalmedian $603 · 10th to 90th $398 to $1,288
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 $338.84 Median $478.63 Typical High $4,265.80 | Facility | None | $338.84 | $478.63 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $707.95 | Professional | None | $338.84 | $478.63 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $562.34 | Professional | None | $436.52 | $436.52 | $562.34 |
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 $467.74 Median $741.31 Typical High $1,318.26 | Professional | None | $467.74 | $741.31 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,819.70 Typical High $2,951.21 | Facility | None | $575.44 | $1,819.70 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $1,023.29 | Professional | None | $398.11 | $549.54 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,148.15 | Professional | None | $758.58 | $758.58 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $1,584.89 Typical High $1,819.70 | Facility | None | $537.03 | $1,584.89 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $776.25 | Professional | None | $588.84 | $602.56 | $776.25 |
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 $323.59 Median $489.78 Typical High $1,000.00 | Professional | None | $323.59 | $489.78 | $1,000.00 |
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 $257.04 Median $338.84 Typical High $380.19 | Professional | 54 · Surgery only | $257.04 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $316.23 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $239.88 | $316.23 | $346.74 |
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 $912.01 Median $912.01 Typical High $2,041.74 | Professional | 50 · Both sides | $912.01 | $912.01 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $676.08 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $676.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $120.23 Typical High $269.15 | Professional | 80 · Assistant surgeon | $120.23 | $120.23 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $85.11 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $85.11 | $85.11 | $186.21 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $85.11 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $85.11 | $186.21 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $85.11 Typical High $186.21 | Professional | AS · PA/NP assist | $85.11 | $85.11 | $186.21 |
Where North Carolina sits
The same service costs 6.0 times more in Colorado than in West Virginia. 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 $6,136WV $1,026
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.