How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,380 to $11,220Professionalmedian $1,995 · 10th to 90th $1,380 to $3,631
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 $1,288.25 Typical High $10,471.29 | Facility | None | $1,202.26 | $1,288.25 | $10,471.29 |
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 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,162.28 Median $5,248.07 Typical High $8,128.31 | Facility | None | $3,162.28 | $5,248.07 | $8,128.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,290.87 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $4,677.35 Typical High $7,585.78 | Facility | None | $1,584.89 | $4,677.35 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $3,630.78 | Professional | None | $1,513.56 | $1,778.28 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $1,230.27 Median $4,265.80 Typical High $8,912.51 | Facility | None | $1,230.27 | $4,265.80 | $8,912.51 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,148.15 | $1,949.84 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,265.80 Typical High $17,782.79 | Facility | None | $1,380.38 | $4,265.80 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,905.46 | $3,235.94 |
9 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 $912.01 Median $912.01 Typical High $1,148.15 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,148.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $1,071.52 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,548.82 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $3,162.28 Typical High $5,248.07 | Professional | 50 · Both sides | $1,698.24 | $3,162.28 | $5,248.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $562.34 Median $1,071.52 Typical High $1,778.28 | Professional | 51 · Multiple procedures | $562.34 | $1,071.52 | $1,778.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $426.58 Typical High $707.95 | Professional | 80 · Assistant surgeon | $229.09 | $426.58 | $707.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $295.12 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $158.49 | $295.12 | $489.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $295.12 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $295.12 | $489.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $295.12 Typical High $489.78 | Professional | AS · PA/NP assist | $158.49 | $295.12 | $489.78 |
Where North Carolina sits
The same service costs 5.4 times more in Wisconsin than in Texas. 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· 22nd of 51
$2,138
WI $5,248TX $977
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.