How much rates vary
Facilitymedian $8,318 · 10th to 90th $724 to $17,378Professionalmedian $1,820 · 10th to 90th $1,148 to $3,020
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 $1,122.02 Median $4,073.80 Typical High $20,892.96 | Facility | None | $1,122.02 | $4,073.80 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | None | $1,122.02 | $1,122.02 | $1,318.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6,456.54 Median $10,715.19 Typical High $16,595.87 | Facility | None | $6,456.54 | $10,715.19 | $16,595.87 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,479.11 | $1,995.26 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $9,549.93 Typical High $15,848.93 | Facility | None | $602.56 | $9,549.93 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,148.15 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,737.80 | $1,737.80 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $14,791.08 | Facility | None | $724.44 | $724.44 | $14,791.08 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,348.96 | $1,513.56 |
Oscar Health Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,466.84 Typical High $18,197.01 | Facility | None | $1,380.38 | $4,466.84 | $18,197.01 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $2,187.76 | Professional | None | $954.99 | $1,148.15 | $2,187.76 |
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 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $758.58 Typical High $758.58 | Professional | 51 · Multiple procedures | $524.81 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $309.03 Typical High $309.03 | Professional | 80 · Assistant surgeon | $208.93 | $309.03 | $309.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $213.80 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $147.91 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $213.80 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $213.80 | $213.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $213.80 Typical High $213.80 | Professional | AS · PA/NP assist | $147.91 | $213.80 | $213.80 |
Where North Carolina sits
The same service costs 6.5 times more in Alaska than in West Virginia. 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 $17,292WV $2,643
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.