How much rates vary
Facilitymedian $2,512 · 10th to 90th $631 to $10,965Professionalmedian $1,047 · 10th to 90th $537 to $1,514
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 $524.81 Median $1,584.89 Typical High $10,964.78 | Facility | None | $524.81 | $1,584.89 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $691.83 | Professional | None | $524.81 | $524.81 | $691.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $6,456.54 | Facility | None | $1,621.81 | $2,511.89 | $6,456.54 |
BCBS North Carolina Setting Professional Modifier None Typical Low $645.65 Median $1,230.27 Typical High $1,513.56 | Professional | None | $645.65 | $1,230.27 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,238.72 Typical High $3,235.94 | Facility | None | $645.65 | $2,238.72 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $1,288.25 | Professional | None | $575.44 | $588.84 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,258.93 | Professional | None | $851.14 | $851.14 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $4,466.84 | Facility | None | $588.84 | $977.24 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $891.25 | Professional | None | $602.56 | $616.60 | $891.25 |
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 $446.68 Median $575.44 Typical High $1,318.26 | Professional | None | $446.68 | $575.44 | $1,318.26 |
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 $263.03 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $263.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $104.71 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $398.11 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $416.87 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $891.25 Median $1,949.84 Typical High $6,606.93 | Facility | 50 · Both sides | $891.25 | $1,949.84 | $6,606.93 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $295.12 Median $645.65 Typical High $2,238.72 | Facility | 51 · Multiple procedures | $295.12 | $645.65 | $2,238.72 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $933.25 Typical High $2,137.96 | Professional | 50 · Both sides | $891.25 | $933.25 | $2,137.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $309.03 Typical High $707.95 | Professional | 51 · Multiple procedures | $302.00 | $309.03 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $123.03 Typical High $281.84 | Professional | 80 · Assistant surgeon | $120.23 | $123.03 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $87.10 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $83.18 | $87.10 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $87.10 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $87.10 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $87.10 Typical High $199.53 | Professional | AS · PA/NP assist | $83.18 | $87.10 | $199.53 |
Where North Carolina sits
The same service costs 7.9 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· 9th of 51
$1,096
AK $2,239TX $282
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.