How much rates vary
Facilitymedian $1,660 · 10th to 90th $603 to $5,754Professionalmedian $661 · 10th to 90th $457 to $1,318
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 $436.52 Median $602.56 Typical High $7,943.28 | Facility | None | $436.52 | $602.56 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $741.31 | Professional | None | $436.52 | $436.52 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
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 $562.34 Median $794.33 Typical High $1,318.26 | Professional | None | $562.34 | $794.33 | $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 $524.81 Median $549.54 Typical High $1,122.02 | Professional | None | $524.81 | $549.54 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,023.29 | Professional | None | $741.31 | $741.31 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,023.29 | $1,584.89 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $741.31 | Professional | None | $537.03 | $575.44 | $741.31 |
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 $380.19 Median $524.81 Typical High $1,122.02 | Professional | None | $380.19 | $524.81 | $1,122.02 |
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 $331.13 Median $331.13 Typical High $389.05 | Professional | 54 · Surgery only | $331.13 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $363.08 |
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 $870.96 Median $870.96 Typical High $1,862.09 | Professional | 50 · Both sides | $870.96 | $870.96 | $1,862.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $288.40 Typical High $616.60 | Professional | 51 · Multiple procedures | $288.40 | $288.40 | $616.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $114.82 Typical High $239.88 | Professional | 80 · Assistant surgeon | $114.82 | $114.82 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $81.28 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $81.28 | $81.28 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $81.28 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $81.28 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $81.28 Typical High $169.82 | Professional | AS · PA/NP assist | $81.28 | $81.28 | $169.82 |
Where North Carolina sits
The same service costs 4.7 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 $6,797MT $1,449
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.