How much rates vary
Facilitymedian $676 · 10th to 90th $339 to $5,248Professionalmedian $562 · 10th to 90th $339 to $1,096
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 $295.12 Median $436.52 Typical High $7,585.78 | Facility | None | $295.12 | $436.52 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $616.60 | Professional | None | $295.12 | $436.52 | $616.60 |
BCBS North Carolina Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $1,047.13 | Facility | None | $269.15 | $416.87 | $1,047.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $338.84 Median $660.69 Typical High $1,202.26 | Professional | None | $338.84 | $660.69 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $891.25 | Facility | None | $331.13 | $501.19 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $912.01 | Professional | None | $354.81 | $436.52 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,047.13 | Professional | None | $602.56 | $602.56 | $1,047.13 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $776.25 | Facility | None | $316.23 | $489.78 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $724.44 | Professional | None | $416.87 | $524.81 | $724.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $8,709.64 | Facility | None | $851.14 | $1,698.24 | $8,709.64 |
United Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $891.25 | Professional | None | $281.84 | $436.52 | $891.25 |
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 $147.91 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $147.91 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $58.88 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $309.03 Typical High $338.84 | Professional | 54 · Surgery only | $223.87 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $61.66 Typical High $67.61 | Professional | 55 · Aftercare only | $44.67 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $41.69 Typical High $44.67 | Professional | 56 · Pre-op care only | $29.51 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $288.40 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $208.93 | $288.40 | $316.23 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $741.31 Typical High $1,148.15 | Facility | 50 · Both sides | $478.63 | $741.31 | $1,148.15 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $158.49 Median $245.47 Typical High $389.05 | Facility | 51 · Multiple procedures | $158.49 | $245.47 | $389.05 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $794.33 Typical High $1,584.89 | Professional | 50 · Both sides | $630.96 | $794.33 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $208.93 Median $263.03 Typical High $524.81 | Professional | 51 · Multiple procedures | $208.93 | $263.03 | $524.81 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 14th of 51
$562
AK $1,259TX $282
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.