How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,202 to $18,197Professionalmedian $1,820 · 10th to 90th $1,288 to $3,715
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 $1,258.93 Median $1,584.89 Typical High $10,964.78 | Facility | None | $1,258.93 | $1,584.89 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,258.93 | $1,445.44 |
BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $7,413.10 Typical High $23,442.29 | Facility | None | $5,370.32 | $7,413.10 | $23,442.29 |
BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,089.30 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $12,589.25 Typical High $20,417.38 | Facility | None | $602.56 | $12,589.25 | $20,417.38 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,090.30 | Professional | None | $1,412.54 | $1,412.54 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,089.30 | $2,951.21 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $12,589.25 Typical High $22,908.68 | Facility | None | $1,513.56 | $12,589.25 | $22,908.68 |
Medcost Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,513.56 | $1,737.80 | $2,137.96 |
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 $1,071.52 Median $1,412.54 Typical High $3,090.30 | Professional | None | $1,071.52 | $1,412.54 | $3,090.30 |
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 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,000.00 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $3,162.28 Typical High $4,570.88 | Professional | 50 · Both sides | $2,344.23 | $3,162.28 | $4,570.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $776.25 Median $1,047.13 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $776.25 | $1,047.13 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $426.58 Typical High $602.56 | Professional | 80 · Assistant surgeon | $309.03 | $426.58 | $602.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $218.78 Median $295.12 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $218.78 | $295.12 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $218.78 Median $295.12 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $218.78 | $295.12 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $218.78 Median $295.12 Typical High $426.58 | Professional | AS · PA/NP assist | $218.78 | $295.12 | $426.58 |
Where North Carolina sits
The same service costs 8.1 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
$1,905
AK $5,248TX $646
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.