How much rates vary
Facilitymedian $851 · 10th to 90th $389 to $7,079Professionalmedian $1,072 · 10th to 90th $575 to $1,738
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 $457.09 Median $457.09 Typical High $7,943.28 | Facility | None | $457.09 | $457.09 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $616.60 | Professional | None | $457.09 | $457.09 | $616.60 |
BCBS North Carolina Setting Professional Modifier None Typical Low $831.76 Median $1,412.54 Typical High $1,862.09 | Professional | None | $831.76 | $1,412.54 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $29,512.09 | Facility | None | $478.63 | $851.14 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,905.46 | Professional | None | $691.83 | $870.96 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $1,202.26 Typical High $1,202.26 | Facility | None | $457.09 | $1,202.26 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $954.99 | Professional | None | $549.54 | $851.14 | $954.99 |
United Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $5,011.87 | Facility | None | $338.84 | $851.14 | $5,011.87 |
United Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $1,445.44 | Professional | None | $616.60 | $977.24 | $1,445.44 |
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 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | 53 · Discontinued | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | 54 · Surgery only | $346.74 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $60.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $426.58 Typical High $645.65 | Professional | 51 · Multiple procedures | $309.03 | $426.58 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $169.82 Typical High $257.04 | Professional | 80 · Assistant surgeon | $123.03 | $169.82 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $117.49 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $85.11 | $117.49 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $117.49 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $117.49 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $117.49 Typical High $181.97 | Professional | AS · PA/NP assist | $85.11 | $117.49 | $181.97 |
Where North Carolina sits
The same service costs 13.6 times more in Colorado than in Maryland. 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.
Physician feeFacility fee
CO $15,162MD $1,112
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.