How much rates vary
Facilitymedian $1,000 · 10th to 90th $479 to $2,818Professionalmedian $1,096 · 10th to 90th $214 to $2,630
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 $144.54 Median $794.33 Typical High $7,413.10 | Facility | None | $144.54 | $794.33 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $707.95 Typical High $933.25 | Professional | None | $144.54 | $707.95 | $933.25 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $831.76 | Professional | None | $134.90 | $134.90 | $831.76 |
BCBS North Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,348.96 | Facility | None | $676.08 | $1,000.00 | $1,348.96 |
BCBS North Carolina Setting Professional Modifier None Typical Low $251.19 Median $1,096.48 Typical High $2,818.38 | Professional | None | $251.19 | $1,096.48 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,288.25 Typical High $2,137.96 | Facility | None | $416.87 | $1,288.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $512.86 Typical High $1,412.54 | Professional | None | $186.21 | $512.86 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,584.89 | $2,089.30 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $1,288.25 | Facility | None | $575.44 | $724.44 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $1,621.81 | Professional | None | $758.58 | $1,230.27 | $1,621.81 |
Oscar Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,148.15 | $1,258.93 |
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 $151.36 Median $616.60 Typical High $1,412.54 | Professional | None | $151.36 | $616.60 | $1,412.54 |
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 54 · Surgery only Typical Low $107.15 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $107.15 | $524.81 | $630.96 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $281.84 Median $363.08 Typical High $851.14 | Facility | 51 · Multiple procedures | $281.84 | $363.08 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $660.69 Typical High $812.83 | Professional | 51 · Multiple procedures | $371.54 | $660.69 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $281.84 Typical High $323.59 | Professional | 80 · Assistant surgeon | $151.36 | $281.84 | $323.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $194.98 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $104.71 | $194.98 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $194.98 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $194.98 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $194.98 Typical High $229.09 | Professional | AS · PA/NP assist | $104.71 | $194.98 | $229.09 |
Where North Carolina sits
The same service costs 5.0 times more in Colorado 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
CO $4,941MD $994
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.