How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,096 to $9,120Professionalmedian $741 · 10th to 90th $457 to $1,288
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 $398.11 Median $1,445.44 Typical High $10,715.19 | Facility | None | $398.11 | $1,445.44 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | None | $398.11 | $398.11 | $478.63 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,090.30 | Facility | None | $1,548.82 | $2,290.87 | $3,090.30 |
BCBS North Carolina Setting Professional Modifier None Typical Low $457.09 Median $851.14 Typical High $1,288.25 | Professional | None | $457.09 | $851.14 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $6,165.95 Typical High $9,120.11 | Facility | None | $1,698.24 | $6,165.95 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $812.83 | Professional | None | $467.74 | $478.63 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $933.25 | Professional | None | $707.95 | $707.95 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $1,621.81 Typical High $3,801.89 | Facility | None | $758.58 | $1,621.81 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $645.65 | Professional | None | $380.19 | $512.86 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $457.09 | Professional | None | $436.52 | $436.52 | $457.09 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,398.83 | $12,022.64 |
United Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $794.33 | Professional | None | $363.08 | $457.09 | $794.33 |
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 $199.53 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | 54 · Surgery only | $302.00 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $46.77 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $645.65 Median $912.01 Typical High $2,570.40 | Facility | 51 · Multiple procedures | $645.65 | $912.01 | $2,570.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $190.55 Median $257.04 Typical High $323.59 | Professional | 51 · Multiple procedures | $190.55 | $257.04 | $323.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $102.33 Typical High $128.82 | Professional | 80 · Assistant surgeon | $75.86 | $102.33 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $72.44 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $53.70 | $72.44 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $72.44 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $72.44 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $72.44 Typical High $91.20 | Professional | AS · PA/NP assist | $53.70 | $72.44 | $91.20 |
Where North Carolina sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 10th of 51
$759
AK $1,622TX $363
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.