How much rates vary
Facilitymedian $1,023 · 10th to 90th $380 to $7,244Professionalmedian $2,089 · 10th to 90th $1,230 to $3,715
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 $1,202.26 Median $1,202.26 Typical High $7,943.28 | Facility | None | $1,202.26 | $1,202.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,884.03 | $3,801.89 |
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 $1,513.56 Median $1,778.28 Typical High $3,715.35 | Professional | None | $1,513.56 | $1,778.28 | $3,715.35 |
Medcost Setting Facility Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,905.46 | Facility | None | $1,202.26 | $1,230.27 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,737.80 | $1,995.26 |
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 $1,230.27 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,949.84 | $3,235.94 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $562.34 Median $870.96 Typical High $1,778.28 | Professional | 51 · Multiple procedures | $562.34 | $870.96 | $1,778.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $346.74 Typical High $707.95 | Professional | 80 · Assistant surgeon | $223.87 | $346.74 | $707.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $239.88 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $158.49 | $239.88 | $489.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $239.88 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $239.88 | $489.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $239.88 Typical High $489.78 | Professional | AS · PA/NP assist | $158.49 | $239.88 | $489.78 |
Where North Carolina sits
The same service costs 27.7 times more in Maine 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
ME $53,024MD $1,911
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.