How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,380 to $11,220Professionalmedian $3,311 · 10th to 90th $1,698 to $4,266
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 $1,288.25 Median $1,621.81 Typical High $10,964.78 | Facility | None | $1,288.25 | $1,621.81 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,621.81 | $1,621.81 | $1,905.46 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $7,585.78 | Facility | None | $2,951.21 | $4,677.35 | $7,585.78 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $4,265.80 | Professional | None | $1,995.26 | $3,630.78 | $4,265.80 |
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 $1,905.46 Median $1,905.46 Typical High $4,365.16 | Professional | None | $1,905.46 | $1,905.46 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,884.03 | $2,884.03 | $3,801.89 |
Medcost Setting Facility Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,698.24 | $3,090.30 | $10,964.78 |
Medcost Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,344.23 | $2,884.03 |
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 $1,412.54 Median $1,819.70 Typical High $4,073.80 | Professional | None | $1,412.54 | $1,819.70 | $4,073.80 |
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 $1,230.27 Median $1,230.27 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,318.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $4,265.80 Typical High $5,888.44 | Professional | 50 · Both sides | $3,090.30 | $4,265.80 | $5,888.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,023.29 Median $1,412.54 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $1,023.29 | $1,412.54 | $1,949.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $575.44 Typical High $794.33 | Professional | 80 · Assistant surgeon | $416.87 | $575.44 | $794.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $288.40 Median $398.11 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $288.40 | $398.11 | $549.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $288.40 Median $398.11 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $288.40 | $398.11 | $549.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $398.11 Typical High $549.54 | Professional | AS · PA/NP assist | $288.40 | $398.11 | $549.54 |
Where North Carolina sits
The same service costs 7.8 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· 6th of 51
$3,388
AK $6,761TX $871
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.