How much rates vary
Facilitymedian $2,089 · 10th to 90th $603 to $7,413Professionalmedian $550 · 10th to 90th $380 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 $380.19 Median $1,288.25 Typical High $8,317.64 | Facility | None | $380.19 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $660.69 | Professional | None | $380.19 | $380.19 | $660.69 |
BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $5,623.41 | Facility | None | $1,412.54 | $2,238.72 | $5,623.41 |
BCBS Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,096.48 | Professional | None | $467.74 | $630.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $5,011.87 Typical High $7,413.10 | Facility | None | $645.65 | $5,011.87 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $933.25 | Professional | None | $389.05 | $407.38 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $891.25 | Professional | None | $562.34 | $562.34 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $1,023.29 Typical High $4,677.35 | Facility | None | $575.44 | $1,023.29 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $776.25 | Professional | None | $398.11 | $446.68 | $776.25 |
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 $323.59 Median $426.58 Typical High $954.99 | Professional | None | $323.59 | $426.58 | $954.99 |
14 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 $186.21 Median $186.21 Typical High $218.78 | Professional | 52 · Reduced service | $186.21 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 53 · Discontinued | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 54 · Surgery only | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $309.03 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $891.25 Median $1,778.28 Typical High $7,413.10 | Facility | 50 · Both sides | $891.25 | $1,778.28 | $7,413.10 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $295.12 Median $588.84 Typical High $2,511.89 | Facility | 51 · Multiple procedures | $295.12 | $588.84 | $2,511.89 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $660.69 Typical High $1,479.11 | Professional | 50 · Both sides | $602.56 | $660.69 | $1,479.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $223.87 Typical High $489.78 | Professional | 51 · Multiple procedures | $199.53 | $223.87 | $489.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $89.13 Typical High $199.53 | Professional | 80 · Assistant surgeon | $79.43 | $89.13 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $56.23 Median $61.66 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $56.23 | $61.66 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $56.23 Median $61.66 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $56.23 | $61.66 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $61.66 Typical High $138.04 | Professional | AS · PA/NP assist | $56.23 | $61.66 | $138.04 |
Where North Carolina sits
The same service costs 7.2 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· 21st of 51
$589
AK $1,622TX $224
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.