How much rates vary
Facilitymedian $2,692 · 10th to 90th $646 to $10,471Professionalmedian $513 · 10th to 90th $339 to $933
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 $269.15 Median $1,288.25 Typical High $8,317.64 | Facility | None | $269.15 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None | $269.15 | $269.15 | $346.74 |
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 $354.81 Median $588.84 Typical High $954.99 | Professional | None | $354.81 | $588.84 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,466.84 Typical High $6,760.83 | Facility | None | $645.65 | $4,466.84 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $602.56 | Professional | None | $363.08 | $389.05 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | None | $562.34 | $562.34 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $977.24 Typical High $3,548.13 | Facility | None | $575.44 | $977.24 | $3,548.13 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $524.81 | Professional | None | $263.03 | $436.52 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Professional | None | $426.58 | $426.58 | $446.68 |
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 $263.03 Median $346.74 Typical High $575.44 | Professional | None | $263.03 | $346.74 | $575.44 |
7 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 $134.90 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $53.70 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | 54 · Surgery only | $204.17 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $50.12 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $33.11 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $295.12 Median $616.60 Typical High $1,778.28 | Facility | 51 · Multiple procedures | $295.12 | $616.60 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $131.83 Median $218.78 Typical High $316.23 | Professional | 51 · Multiple procedures | $131.83 | $218.78 | $316.23 |
Where North Carolina sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.