How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,023 to $11,749Professionalmedian $1,950 · 10th to 90th $1,072 to $2,630
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 $1,023.29 Median $1,584.89 Typical High $10,964.78 | Facility | None | $1,023.29 | $1,584.89 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,023.29 | $1,288.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,090.30 Median $4,265.80 Typical High $13,489.63 | Facility | None | $3,090.30 | $4,265.80 | $13,489.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,949.84 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,370.32 Typical High $8,709.64 | Facility | None | $602.56 | $5,370.32 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,174.90 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Medcost Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $5,248.07 | Facility | None | $2,398.83 | $3,715.35 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,445.44 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,265.80 Typical High $17,782.79 | Facility | None | $1,380.38 | $4,265.80 | $17,782.79 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,570.40 | Professional | None | $891.25 | $1,148.15 | $2,570.40 |
12 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 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | 54 · Surgery only | $776.25 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $831.76 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $3,548.13 Median $5,623.41 Typical High $10,964.78 | Facility | 50 · Both sides | $3,548.13 | $5,623.41 | $10,964.78 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $1,202.26 Median $1,862.09 Typical High $3,715.35 | Facility | 51 · Multiple procedures | $1,202.26 | $1,862.09 | $3,715.35 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,630.27 Typical High $3,715.35 | Professional | 50 · Both sides | $1,905.46 | $2,630.27 | $3,715.35 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $891.25 Typical High $1,258.93 | Professional | 51 · Multiple procedures | $645.65 | $891.25 | $1,258.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $354.81 Typical High $501.19 | Professional | 80 · Assistant surgeon | $257.04 | $354.81 | $501.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $245.47 Typical High $346.74 | Professional | 81 · Minimal assistant surgeon | $177.83 | $245.47 | $346.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $245.47 Typical High $346.74 | Professional | 82 · Assistant surgeon, no resident | $177.83 | $245.47 | $346.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $245.47 Typical High $346.74 | Professional | AS · PA/NP assist | $177.83 | $245.47 | $346.74 |
Where North Carolina sits
The same service costs 7.6 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· 12th of 51
$1,950
AK $4,266TX $562
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.