How much rates vary
Facilitymedian $1,072 · 10th to 90th $372 to $3,388Professionalmedian $389 · 10th to 90th $191 to $776
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 $154.88 Median $309.03 Typical High $7,585.78 | Facility | None | $154.88 | $309.03 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $309.03 Typical High $338.84 | Professional | None | $154.88 | $309.03 | $338.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $4,570.88 | Facility | None | $1,148.15 | $1,778.28 | $4,570.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $870.96 | Professional | None | $245.47 | $436.52 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,318.26 Typical High $1,659.59 | Facility | None | $457.09 | $1,318.26 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $588.84 | Professional | None | $194.98 | $331.13 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $549.54 Typical High $1,258.93 | Facility | None | $323.59 | $549.54 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $501.19 | Professional | None | $269.15 | $363.08 | $501.19 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $602.56 | Professional | None | $158.49 | $295.12 | $602.56 |
13 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 $77.62 Median $125.89 Typical High $165.96 | Professional | 52 · Reduced service | $77.62 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $50.12 Typical High $66.07 | Professional | 53 · Discontinued | $30.90 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $190.55 Typical High $251.19 | Professional | 54 · Surgery only | $114.82 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $38.02 Typical High $50.12 | Professional | 55 · Aftercare only | $23.44 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $25.12 Typical High $33.11 | Professional | 56 · Pre-op care only | $15.49 | $25.12 | $33.11 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $562.34 Median $1,258.93 Typical High $2,398.83 | Facility | 50 · Both sides | $562.34 | $1,258.93 | $2,398.83 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $186.21 Median $416.87 Typical High $812.83 | Facility | 51 · Multiple procedures | $186.21 | $416.87 | $812.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $549.54 Typical High $1,230.27 | Professional | 50 · Both sides | $398.11 | $549.54 | $1,230.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $134.90 Median $181.97 Typical High $416.87 | Professional | 51 · Multiple procedures | $134.90 | $181.97 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $53.70 Median $72.44 Typical High $165.96 | Professional | 80 · Assistant surgeon | $53.70 | $72.44 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $51.29 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $37.15 | $51.29 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $51.29 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $51.29 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $51.29 Typical High $114.82 | Professional | AS · PA/NP assist | $37.15 | $51.29 | $114.82 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 16th of 51
$407
AK $933KY $240
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.