How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,000 to $6,310Professionalmedian $2,512 · 10th to 90th $240 to $6,607
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 $173.78 Median $1,698.24 Typical High $7,762.47 | Facility | None | $173.78 | $1,698.24 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $1,548.82 Typical High $3,388.44 | Professional | None | $173.78 | $1,548.82 | $3,388.44 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,398.83 | $3,235.94 |
BCBS North Carolina Setting Professional Modifier None Typical Low $331.13 Median $4,073.80 Typical High $9,549.93 | Professional | None | $331.13 | $4,073.80 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,398.83 Typical High $3,630.78 | Facility | None | $676.08 | $2,398.83 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $660.69 Typical High $4,897.79 | Professional | None | $263.03 | $660.69 | $4,897.79 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,311.31 | Facility | None | $1,258.93 | $1,949.84 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $2,187.76 Median $5,128.61 Typical High $5,128.61 | Professional | None | $2,187.76 | $5,128.61 | $5,128.61 |
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 $190.55 Median $1,174.90 Typical High $5,128.61 | Professional | None | $190.55 | $1,174.90 | $5,128.61 |
9 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 $131.83 Median $263.03 Typical High $1,513.56 | Professional | 54 · Surgery only | $131.83 | $263.03 | $1,513.56 |
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 $4,168.69 Median $7,585.78 Typical High $7,762.47 | Professional | 50 · Both sides | $4,168.69 | $7,585.78 | $7,762.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,380.38 Median $2,570.40 Typical High $2,570.40 | Professional | 51 · Multiple procedures | $1,380.38 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $549.54 Median $1,023.29 Typical High $1,047.13 | Professional | 80 · Assistant surgeon | $549.54 | $1,023.29 | $1,047.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $389.05 Median $724.44 Typical High $724.44 | Professional | 81 · Minimal assistant surgeon | $389.05 | $724.44 | $724.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $389.05 Median $724.44 Typical High $724.44 | Professional | 82 · Assistant surgeon, no resident | $389.05 | $724.44 | $724.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $389.05 Median $724.44 Typical High $724.44 | Professional | AS · PA/NP assist | $389.05 | $724.44 | $724.44 |
Where North Carolina sits
The same service costs 10.5 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· 7th of 51
$2,399
AK $3,715NE $355
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.