How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,000 to $5,248Professionalmedian $1,413 · 10th to 90th $1,047 to $2,884
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 $1,000.00 Median $1,288.25 Typical High $8,317.64 | Facility | None | $1,000.00 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Professional | None | $1,000.00 | $1,000.00 | $1,202.26 |
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 $1,258.93 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,258.93 | $1,737.80 | $3,019.95 |
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 $1,122.02 Median $1,174.90 Typical High $2,570.40 | Professional | None | $1,122.02 | $1,174.90 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,584.89 | $1,584.89 | $2,344.23 |
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 $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
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 $891.25 Median $1,148.15 Typical High $2,511.89 | Professional | None | $891.25 | $1,148.15 | $2,511.89 |
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 $758.58 Median $758.58 Typical High $891.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $831.76 |
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 $1,819.70 Median $1,819.70 Typical High $3,715.35 | Professional | 50 · Both sides | $1,819.70 | $1,819.70 | $3,715.35 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $602.56 Median $602.56 Typical High $1,230.27 | Professional | 51 · Multiple procedures | $602.56 | $602.56 | $1,230.27 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $245.47 Typical High $489.78 | Professional | 80 · Assistant surgeon | $245.47 | $245.47 | $489.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | 81 · Minimal assistant surgeon | $169.82 | $169.82 | $346.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | 82 · Assistant surgeon, no resident | $169.82 | $169.82 | $346.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | AS · PA/NP assist | $169.82 | $169.82 | $346.74 |
Where North Carolina sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.