How much rates vary
Facilitymedian $2,818 · 10th to 90th $724 to $23,442Professionalmedian $2,188 · 10th to 90th $1,445 to $3,311
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 $1,096.48 Median $1,445.44 Typical High $20,892.96 | Facility | None | $1,096.48 | $1,445.44 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,096.48 | $1,513.56 |
Ambetter Setting Professional Modifier None Typical Low $676.08 Median $1,548.82 Typical High $1,621.81 | Professional | None | $676.08 | $1,548.82 | $1,621.81 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,388.44 | Professional | None | $1,621.81 | $2,344.23 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $29,512.09 | Facility | None | $478.63 | $851.14 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,445.44 | $1,548.82 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,238.72 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,096.48 | Facility | None | $724.44 | $724.44 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,659.59 | $1,659.59 |
Oscar Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,445.44 | $1,445.44 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,466.84 Typical High $19,498.45 | Facility | None | $1,380.38 | $4,466.84 | $19,498.45 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,348.96 | $2,137.96 |
7 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 $812.83 Median $812.83 Typical High $954.99 | Professional | 54 · Surgery only | $812.83 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $831.76 Typical High $831.76 | Professional | 51 · Multiple procedures | $512.86 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $338.84 Typical High $338.84 | Professional | 80 · Assistant surgeon | $208.93 | $338.84 | $338.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $234.42 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $144.54 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $234.42 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $234.42 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $234.42 Typical High $234.42 | Professional | AS · PA/NP assist | $144.54 | $234.42 | $234.42 |
Where North Carolina sits
The same service costs 8.7 times more in Maine than in Kentucky. 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 $27,149KY $3,127
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.