How much rates vary
Facilitymedian $1,549 · 10th to 90th $513 to $3,802Professionalmedian $417 · 10th to 90th $224 to $676
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 $199.53 Median $1,445.44 Typical High $10,715.19 | Facility | None | $199.53 | $1,445.44 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | None | $199.53 | $199.53 | $234.42 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $3,801.89 | Facility | None | $1,949.84 | $2,818.38 | $3,801.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $707.95 | Professional | None | $323.59 | $416.87 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,288.25 Typical High $2,187.76 | Facility | None | $602.56 | $1,288.25 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $575.44 | Professional | None | $263.03 | $354.81 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $1,905.46 Typical High $2,754.23 | Facility | None | $549.54 | $1,905.46 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $467.74 | Professional | None | $239.88 | $323.59 | $467.74 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $549.54 | Professional | None | $204.17 | $338.84 | $549.54 |
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 $100.00 Median $100.00 Typical High $114.82 | Professional | 52 · Reduced service | $100.00 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 53 · Discontinued | $39.81 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 54 · Surgery only | $147.91 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $22.91 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $524.81 Median $1,023.29 Typical High $1,380.38 | Facility | 51 · Multiple procedures | $524.81 | $1,023.29 | $1,380.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $208.93 Typical High $288.40 | Professional | 51 · Multiple procedures | $144.54 | $208.93 | $288.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $83.18 Typical High $117.49 | Professional | 80 · Assistant surgeon | $57.54 | $83.18 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $58.88 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $39.81 | $58.88 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $58.88 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $58.88 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $58.88 Typical High $81.28 | Professional | AS · PA/NP assist | $39.81 | $58.88 | $81.28 |
Where North Carolina sits
The same service costs 7.6 times more in Colorado than in Montana. 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
CO $4,681MT $618
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.