How much rates vary
Facilitymedian $4,266 · 10th to 90th $759 to $18,197Professionalmedian $1,148 · 10th to 90th $794 to $2,138
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 $758.58 Median $912.01 Typical High $7,943.28 | Facility | None | $758.58 | $912.01 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,348.96 | Professional | None | $758.58 | $758.58 | $1,348.96 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $4,365.16 Typical High $13,803.84 | Facility | None | $3,162.28 | $4,365.16 | $13,803.84 |
BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $2,238.72 | Professional | None | $954.99 | $1,412.54 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $12,882.50 Typical High $18,620.87 | Facility | None | $794.33 | $12,882.50 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,905.46 | Professional | None | $912.01 | $933.25 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,380.38 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $2,691.53 Typical High $15,488.17 | Facility | None | $741.31 | $2,691.53 | $15,488.17 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,548.82 | Professional | None | $933.25 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $17,782.79 | Facility | None | $1,380.38 | $4,365.16 | $17,782.79 |
United Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,905.46 | Professional | None | $660.69 | $891.25 | $1,905.46 |
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 $380.19 Median $380.19 Typical High $436.52 | Professional | 52 · Reduced service | $380.19 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | 53 · Discontinued | $151.36 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $660.69 | Professional | 54 · Surgery only | $575.44 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $616.60 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,096.48 Median $3,981.07 Typical High $29,512.09 | Facility | 50 · Both sides | $1,096.48 | $3,981.07 | $29,512.09 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $363.08 Median $1,318.26 Typical High $10,000.00 | Facility | 51 · Multiple procedures | $363.08 | $1,318.26 | $10,000.00 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,819.70 Typical High $2,754.23 | Professional | 50 · Both sides | $1,479.11 | $1,819.70 | $2,754.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $602.56 Typical High $933.25 | Professional | 51 · Multiple procedures | $501.19 | $602.56 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $239.88 Typical High $371.54 | Professional | 80 · Assistant surgeon | $199.53 | $239.88 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $138.04 Median $169.82 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $138.04 | $169.82 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $138.04 Median $169.82 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $138.04 | $169.82 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $169.82 Typical High $257.04 | Professional | AS · PA/NP assist | $138.04 | $169.82 | $257.04 |
Where North Carolina sits
The same service costs 9.3 times more in Alaska than in Montana. 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
AK $23,115MT $2,489
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.