How much rates vary
Facilitymedian $1,380 · 10th to 90th $724 to $4,898Professionalmedian $2,042 · 10th to 90th $457 to $7,244
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 $371.54 Median $912.01 Typical High $7,413.10 | Facility | None | $371.54 | $912.01 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $758.58 Typical High $1,000.00 | Professional | None | $371.54 | $758.58 | $1,000.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,187.76 | Facility | None | $1,071.52 | $1,584.89 | $2,187.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $575.44 Median $2,754.23 Typical High $7,585.78 | Professional | None | $575.44 | $2,754.23 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,089.30 | Facility | None | $776.25 | $1,318.26 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $977.24 Typical High $3,388.44 | Professional | None | $446.68 | $977.24 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $4,265.80 Typical High $4,265.80 | Professional | None | $2,398.83 | $4,265.80 | $4,265.80 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,584.89 | Facility | None | $724.44 | $1,096.48 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $3,630.78 Typical High $3,715.35 | Professional | None | $870.96 | $3,630.78 | $3,715.35 |
Oscar Health Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $9,120.11 | Facility | None | $851.14 | $1,698.24 | $9,120.11 |
United Setting Professional Modifier None Typical Low $363.08 Median $851.14 Typical High $3,467.37 | Professional | None | $363.08 | $851.14 | $3,467.37 |
8 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 $281.84 Median $616.60 Typical High $724.44 | Professional | 54 · Surgery only | $281.84 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $575.44 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $263.03 | $575.44 | $691.83 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $363.08 Median $549.54 Typical High $1,122.02 | Facility | 51 · Multiple procedures | $363.08 | $549.54 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $426.58 Median $1,819.70 Typical High $1,862.09 | Professional | 51 · Multiple procedures | $426.58 | $1,819.70 | $1,862.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $724.44 Typical High $741.31 | Professional | 80 · Assistant surgeon | $173.78 | $724.44 | $741.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $512.86 Typical High $524.81 | Professional | 81 · Minimal assistant surgeon | $120.23 | $512.86 | $524.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $512.86 Typical High $524.81 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $512.86 | $524.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $512.86 Typical High $524.81 | Professional | AS · PA/NP assist | $120.23 | $512.86 | $524.81 |
Where North Carolina sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 1st of 51
$2,042
NC $2,042DC $457
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.