How much rates vary
Facilitymedian $1,622 · 10th to 90th $479 to $3,467Professionalmedian $178 · 10th to 90th $120 to $309
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 $102.33 Median $151.36 Typical High $7,585.78 | Facility | None | $102.33 | $151.36 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $154.88 | Professional | None | $102.33 | $102.33 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | None | $147.91 | $147.91 | $173.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,630.27 | Facility | None | $1,288.25 | $1,905.46 | $2,630.27 |
BCBS North Carolina Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $309.03 | Professional | None | $125.89 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,949.84 Typical High $2,818.38 | Facility | None | $645.65 | $1,949.84 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $229.09 | Professional | None | $117.49 | $120.23 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | None | $177.83 | $177.83 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $794.33 Typical High $2,041.74 | Facility | None | $446.68 | $794.33 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $158.49 | Professional | None | $97.72 | $147.91 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | None | $117.49 | $117.49 | $120.23 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $199.53 | Professional | None | $91.20 | $114.82 | $199.53 |
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 |
|---|---|---|---|---|---|
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $257.04 Median $457.09 Typical High $1,513.56 | Facility | 51 · Multiple procedures | $257.04 | $457.09 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $79.43 Typical High $117.49 | Professional | 51 · Multiple procedures | $48.98 | $79.43 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $31.62 Typical High $33.88 | Professional | 80 · Assistant surgeon | $19.50 | $31.62 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $22.39 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $13.80 | $22.39 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $22.39 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $22.39 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $22.39 Typical High $23.99 | Professional | AS · PA/NP assist | $13.80 | $22.39 | $23.99 |
Where North Carolina sits
The same service costs 13.3 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 $4,506MT $340
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.