How much rates vary
Facilitymedian $955 · 10th to 90th $398 to $8,318Professionalmedian $2,818 · 10th to 90th $1,622 to $4,074
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 $1,288.25 Median $1,584.89 Typical High $11,481.54 | Facility | None | $1,288.25 | $1,584.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,479.11 | $1,778.28 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $4,365.16 | Professional | None | $1,905.46 | $2,818.38 | $4,365.16 |
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 $1,621.81 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,621.81 | $1,659.59 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,467.37 | Professional | None | $2,454.71 | $2,454.71 | $3,467.37 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,548.82 | Facility | None | $724.44 | $724.44 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,905.46 | $2,187.76 |
Oscar Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,445.44 | $1,445.44 | $1,479.11 |
United Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $5,011.87 | Facility | None | $338.84 | $851.14 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,288.25 | $1,621.81 | $2,884.03 |
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 $1,047.13 Median $1,047.13 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,230.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $707.95 Median $1,047.13 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $707.95 | $1,047.13 | $1,096.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | 80 · Assistant surgeon | $281.84 | $436.52 | $436.52 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $199.53 | $309.03 | $309.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $309.03 | $309.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | AS · PA/NP assist | $199.53 | $309.03 | $309.03 |
Where North Carolina sits
The same service costs 6.7 times more in Maine than in Maryland. 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 $14,298MD $2,147
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.