How much rates vary
Facilitymedian $1,023 · 10th to 90th $380 to $7,244Professionalmedian $2,884 · 10th to 90th $1,778 to $4,786
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 $1,288.25 Median $2,187.76 Typical High $7,943.28 | Facility | None | $1,288.25 | $2,187.76 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,187.76 | $3,019.95 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,778.28 | $2,884.03 | $4,786.30 |
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 $2,454.71 Median $3,090.30 Typical High $5,370.32 | Professional | None | $2,454.71 | $3,090.30 | $5,370.32 |
Medcost Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,467.37 | Facility | None | $1,621.81 | $2,187.76 | $3,467.37 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,089.30 | $2,884.03 | $3,801.89 |
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 $1,584.89 Median $2,691.53 Typical High $5,370.32 | Professional | None | $1,584.89 | $2,691.53 | $5,370.32 |
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 $1,096.48 Median $1,096.48 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $588.84 | Professional | 53 · Discontinued | $436.52 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $295.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,047.13 Median $1,445.44 Typical High $2,951.21 | Professional | 51 · Multiple procedures | $1,047.13 | $1,445.44 | $2,951.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $575.44 Typical High $1,202.26 | Professional | 80 · Assistant surgeon | $416.87 | $575.44 | $1,202.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $288.40 Median $398.11 Typical High $831.76 | Professional | 81 · Minimal assistant surgeon | $288.40 | $398.11 | $831.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $288.40 Median $398.11 Typical High $831.76 | Professional | 82 · Assistant surgeon, no resident | $288.40 | $398.11 | $831.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $398.11 Typical High $831.76 | Professional | AS · PA/NP assist | $288.40 | $398.11 | $831.76 |
Where North Carolina sits
The same service costs 5.6 times more in Alaska than in South Carolina. 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· 33rd of 51
$2,692
AK $9,550SC $1,698
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.