How much rates vary
Facilitymedian $1,023 · 10th to 90th $380 to $7,762Professionalmedian $3,467 · 10th to 90th $2,344 to $6,166
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 $2,089.30 Typical High $7,943.28 | Facility | None | $1,288.25 | $2,089.30 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,089.30 | $2,691.53 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $6,606.93 | Professional | None | $3,235.94 | $3,801.89 | $6,606.93 |
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 $2,570.40 Median $3,162.28 Typical High $5,888.44 | Professional | None | $2,570.40 | $3,162.28 | $5,888.44 |
Medcost Setting Facility Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $8,511.38 | Facility | None | $2,089.30 | $2,511.89 | $8,511.38 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,951.21 | $4,073.80 |
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 $2,187.76 Median $3,162.28 Typical High $5,754.40 | Professional | None | $2,187.76 | $3,162.28 | $5,754.40 |
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 $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $537.03 | Professional | 53 · Discontinued | $416.87 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $1,862.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,479.11 Typical High $3,090.30 | Professional | 51 · Multiple procedures | $1,071.52 | $1,479.11 | $3,090.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $436.52 Median $588.84 Typical High $1,230.27 | Professional | 80 · Assistant surgeon | $436.52 | $588.84 | $1,230.27 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $416.87 Typical High $870.96 | Professional | 81 · Minimal assistant surgeon | $302.00 | $416.87 | $870.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $416.87 Typical High $870.96 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $416.87 | $870.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $416.87 Typical High $870.96 | Professional | AS · PA/NP assist | $302.00 | $416.87 | $870.96 |
Where North Carolina sits
The same service costs 7.3 times more in Alaska than in Washington. 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
AK $20,260WA $2,785
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.