How much rates vary
Facilitymedian $4,677 · 10th to 90th $724 to $11,220Professionalmedian $1,148 · 10th to 90th $676 to $1,862
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 $645.65 Median $1,778.28 Typical High $12,589.25 | Facility | None | $645.65 | $1,778.28 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,981.07 Median $5,888.44 Typical High $8,317.64 | Facility | None | $3,981.07 | $5,888.44 | $8,317.64 |
BCBS North Carolina Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,862.09 | Professional | None | $851.14 | $1,202.26 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,365.16 Typical High $7,244.36 | Facility | None | $891.25 | $4,365.16 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,288.25 | Professional | None | $676.08 | $676.08 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,023.29 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $6,165.95 | Facility | None | $724.44 | $724.44 | $6,165.95 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $912.01 | Professional | None | $602.56 | $794.33 | $912.01 |
Oscar Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | None | $676.08 | $676.08 | $691.83 |
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 $549.54 Median $676.08 Typical High $1,230.27 | Professional | None | $549.54 | $676.08 | $1,230.27 |
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 $446.68 Median $446.68 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $537.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $446.68 Typical High $457.09 | Professional | 51 · Multiple procedures | $302.00 | $446.68 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $181.97 Typical High $181.97 | Professional | 80 · Assistant surgeon | $123.03 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $125.89 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $85.11 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $125.89 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $125.89 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $125.89 Typical High $125.89 | Professional | AS · PA/NP assist | $85.11 | $125.89 | $125.89 |
Where North Carolina sits
The same service costs 5.3 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 $11,104MT $2,095
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.