How much rates vary
Facilitymedian $776 · 10th to 90th $380 to $4,898Professionalmedian $692 · 10th to 90th $490 to $1,202
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 $436.52 Median $436.52 Typical High $7,943.28 | Facility | None | $436.52 | $436.52 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | None | $436.52 | $436.52 | $602.56 |
BCBS North Carolina Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,230.27 | Professional | None | $588.84 | $794.33 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $2,187.76 | Facility | None | $478.63 | $645.65 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $1,258.93 | Professional | None | $512.86 | $645.65 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $446.68 Typical High $691.83 | Facility | None | $436.52 | $446.68 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $741.31 | Professional | None | $407.38 | $691.83 | $741.31 |
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 $446.68 Median $660.69 Typical High $1,174.90 | Professional | None | $446.68 | $660.69 | $1,174.90 |
6 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 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $416.87 | Professional | 54 · Surgery only | $323.59 | $323.59 | $416.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $363.08 Typical High $630.96 | Professional | 51 · Multiple procedures | $204.17 | $363.08 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $147.91 Typical High $251.19 | Professional | 80 · Assistant surgeon | $81.28 | $147.91 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $102.33 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $57.54 | $102.33 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $102.33 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $102.33 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $102.33 Typical High $177.83 | Professional | AS · PA/NP assist | $57.54 | $102.33 | $177.83 |
Where North Carolina sits
The same service costs 14.4 times more in Maine than in Delaware. 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 $15,115DE $1,050
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.