How much rates vary
Facilitymedian $1,738 · 10th to 90th $525 to $5,129Professionalmedian $275 · 10th to 90th $155 to $537
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 $125.89 Median $208.93 Typical High $7,585.78 | Facility | None | $125.89 | $208.93 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $234.42 | Professional | None | $125.89 | $208.93 | $234.42 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,290.87 | Facility | None | $1,122.02 | $1,659.59 | $2,290.87 |
BCBS North Carolina Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $602.56 | Professional | None | $204.17 | $323.59 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,290.87 Typical High $3,388.44 | Facility | None | $602.56 | $2,290.87 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $436.52 | Professional | None | $154.88 | $234.42 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $831.76 Typical High $2,344.23 | Facility | None | $239.88 | $831.76 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $354.81 | Professional | None | $234.42 | $257.04 | $354.81 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $8,709.64 | Facility | None | $851.14 | $1,698.24 | $8,709.64 |
United Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $457.09 | Professional | None | $125.89 | $208.93 | $457.09 |
11 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 $63.10 Median $87.10 Typical High $114.82 | Professional | 52 · Reduced service | $63.10 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $25.12 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $128.82 Typical High $173.78 | Professional | 54 · Surgery only | $93.33 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $26.30 Typical High $34.67 | Professional | 55 · Aftercare only | $18.62 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $17.38 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.59 | $17.38 | $22.91 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $263.03 Median $467.74 Typical High $1,584.89 | Facility | 51 · Multiple procedures | $263.03 | $467.74 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $125.89 Typical High $295.12 | Professional | 51 · Multiple procedures | $117.49 | $125.89 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $51.29 Typical High $117.49 | Professional | 80 · Assistant surgeon | $46.77 | $51.29 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $35.48 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $33.11 | $35.48 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $35.48 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $35.48 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $35.48 Typical High $81.28 | Professional | AS · PA/NP assist | $33.11 | $35.48 | $81.28 |
Where North Carolina sits
The same service costs 3.7 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· 15th of 51
$302
AK $708KY $191
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.