How much rates vary
Facilitymedian $871 · 10th to 90th $355 to $2,512Professionalmedian $676 · 10th to 90th $437 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 $354.81 Median $512.86 Typical High $8,511.38 | Facility | None | $354.81 | $512.86 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $758.58 | Professional | None | $354.81 | $512.86 | $758.58 |
BCBS North Carolina Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $1,778.28 | Facility | None | $446.68 | $707.95 | $1,778.28 |
BCBS North Carolina Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $1,445.44 | Professional | None | $512.86 | $812.83 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,454.71 | Facility | None | $724.44 | $1,258.93 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $1,122.02 | Professional | None | $436.52 | $524.81 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,230.27 | Professional | None | $758.58 | $758.58 | $1,230.27 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $812.83 Typical High $1,479.11 | Facility | None | $363.08 | $812.83 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $851.14 | Professional | None | $489.78 | $630.96 | $851.14 |
United Setting Facility Modifier None Typical Low $288.40 Median $501.19 Typical High $2,754.23 | Facility | None | $288.40 | $501.19 | $2,754.23 |
United Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $1,071.52 | Professional | None | $346.74 | $524.81 | $1,071.52 |
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 52 · Reduced service Typical Low $177.83 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $177.83 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $95.50 Typical High $107.15 | Professional | 53 · Discontinued | $70.79 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $363.08 Typical High $398.11 | Professional | 54 · Surgery only | $269.15 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $53.70 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $47.86 Typical High $52.48 | Professional | 56 · Pre-op care only | $35.48 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $338.84 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $251.19 | $338.84 | $371.54 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $537.03 Median $1,258.93 Typical High $2,187.76 | Facility | 50 · Both sides | $537.03 | $1,258.93 | $2,187.76 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $177.83 Median $416.87 Typical High $724.44 | Facility | 51 · Multiple procedures | $177.83 | $416.87 | $724.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $954.99 Typical High $1,819.70 | Professional | 50 · Both sides | $724.44 | $954.99 | $1,819.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $316.23 Typical High $616.60 | Professional | 51 · Multiple procedures | $245.47 | $316.23 | $616.60 |
Where North Carolina sits
The same service costs 4.8 times more in Alaska than in Utah. 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.
North Carolina· 13th of 51
$676
AK $1,549UT $324
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.