How much rates vary
Facilitymedian $724 · 10th to 90th $324 to $6,761Professionalmedian $550 · 10th to 90th $339 to $891
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 $323.59 Median $323.59 Typical High $7,943.28 | Facility | None | $323.59 | $323.59 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | None | $323.59 | $323.59 | $380.19 |
BCBS North Carolina Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $933.25 | Professional | None | $354.81 | $602.56 | $933.25 |
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 $363.08 Median $380.19 Typical High $645.65 | Professional | None | $363.08 | $380.19 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $758.58 | Professional | None | $588.84 | $588.84 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $724.44 | Facility | None | $389.05 | $724.44 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $512.86 | Professional | None | $302.00 | $416.87 | $512.86 |
Oscar Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | None | $331.13 | $331.13 | $346.74 |
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 $281.84 Median $354.81 Typical High $616.60 | Professional | None | $281.84 | $354.81 | $616.60 |
8 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 $239.88 Median $239.88 Typical High $281.84 | Professional | 54 · Surgery only | $239.88 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $257.04 Typical High $257.04 | Professional | 51 · Multiple procedures | $151.36 | $257.04 | $257.04 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $95.50 Typical High $102.33 | Professional | 80 · Assistant surgeon | $60.26 | $95.50 | $102.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $67.61 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $42.66 | $67.61 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $67.61 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $67.61 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $67.61 Typical High $70.79 | Professional | AS · PA/NP assist | $42.66 | $67.61 | $70.79 |
Where North Carolina sits
The same service costs 8.5 times more in Alabama than in Arkansas. 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
AL $7,616AR $899
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.