How much rates vary
Facilitymedian $2,818 · 10th to 90th $851 to $8,318Professionalmedian $1,660 · 10th to 90th $204 to $5,248
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 $1,659.59 Typical High $7,762.47 | Facility | None | $154.88 | $1,659.59 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $1,584.89 Typical High $2,187.76 | Professional | None | $154.88 | $1,584.89 | $2,187.76 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $6,606.93 | Facility | None | $1,659.59 | $2,570.40 | $6,606.93 |
BCBS North Carolina Setting Professional Modifier None Typical Low $275.42 Median $1,548.82 Typical High $5,888.44 | Professional | None | $275.42 | $1,548.82 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,570.88 Typical High $7,413.10 | Facility | None | $676.08 | $4,570.88 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $549.54 Typical High $3,548.13 | Professional | None | $223.87 | $549.54 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,235.94 | Facility | None | $1,258.93 | $1,949.84 | $3,235.94 |
Medcost Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,090.30 | Professional | None | $1,995.26 | $2,754.23 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,691.53 Typical High $12,302.69 | Facility | None | $1,047.13 | $2,691.53 | $12,302.69 |
United Setting Professional Modifier None Typical Low $162.18 Median $1,148.15 Typical High $3,630.78 | Professional | None | $162.18 | $1,148.15 | $3,630.78 |
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 $114.82 Median $218.78 Typical High $1,445.44 | Professional | 54 · Surgery only | $114.82 | $218.78 | $1,445.44 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 50 · Both sides | $2,187.76 | $2,187.76 | $2,187.76 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,862.09 Median $2,884.03 Typical High $7,244.36 | Facility | 50 · Both sides | $1,862.09 | $2,884.03 | $7,244.36 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $616.60 Median $977.24 Typical High $2,398.83 | Facility | 51 · Multiple procedures | $616.60 | $977.24 | $2,398.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,715.35 Median $4,073.80 Typical High $7,244.36 | Professional | 50 · Both sides | $3,715.35 | $4,073.80 | $7,244.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,258.93 Median $1,380.38 Typical High $2,398.83 | Professional | 51 · Multiple procedures | $1,258.93 | $1,380.38 | $2,398.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $501.19 Median $549.54 Typical High $954.99 | Professional | 80 · Assistant surgeon | $501.19 | $549.54 | $954.99 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $346.74 Median $380.19 Typical High $676.08 | Professional | 81 · Minimal assistant surgeon | $346.74 | $380.19 | $676.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $346.74 Median $380.19 Typical High $676.08 | Professional | 82 · Assistant surgeon, no resident | $346.74 | $380.19 | $676.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $380.19 Typical High $676.08 | Professional | AS · PA/NP assist | $346.74 | $380.19 | $676.08 |
Where North Carolina sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 31st of 51
$1,660
AK $3,020NE $302
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.