How much rates vary
Facilitymedian $468 · 10th to 90th $288 to $4,571Professionalmedian $479 · 10th to 90th $263 to $933
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 $245.47 Median $371.54 Typical High $7,585.78 | Facility | None | $245.47 | $371.54 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $436.52 | Professional | None | $245.47 | $371.54 | $436.52 |
BCBS North Carolina Setting Facility Modifier None Typical Low $234.42 Median $346.74 Typical High $467.74 | Facility | None | $234.42 | $346.74 | $467.74 |
BCBS North Carolina Setting Professional Modifier None Typical Low $263.03 Median $562.34 Typical High $1,047.13 | Professional | None | $263.03 | $562.34 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $776.25 | Facility | None | $281.84 | $446.68 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $776.25 | Professional | None | $302.00 | $371.54 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $912.01 | Professional | None | $524.81 | $524.81 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $691.83 | Facility | None | $288.40 | $446.68 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $616.60 | Professional | None | $354.81 | $457.09 | $616.60 |
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 $234.42 Median $380.19 Typical High $794.33 | Professional | None | $234.42 | $380.19 | $794.33 |
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 $123.03 Median $177.83 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $70.79 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $263.03 Typical High $281.84 | Professional | 54 · Surgery only | $181.97 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $52.48 Typical High $56.23 | Professional | 55 · Aftercare only | $36.31 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $35.48 Typical High $38.02 | Professional | 56 · Pre-op care only | $24.55 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $245.47 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $169.82 | $245.47 | $263.03 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $436.52 Median $676.08 Typical High $1,023.29 | Facility | 50 · Both sides | $436.52 | $676.08 | $1,023.29 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $144.54 Median $223.87 Typical High $346.74 | Facility | 51 · Multiple procedures | $144.54 | $223.87 | $346.74 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $691.83 Typical High $1,348.96 | Professional | 50 · Both sides | $537.03 | $691.83 | $1,348.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $177.83 Median $229.09 Typical High $446.68 | Professional | 51 · Multiple procedures | $177.83 | $229.09 | $446.68 |
Where North Carolina sits
The same service costs 4.3 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· 13th of 51
$479
AK $1,023TX $240
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.