How much rates vary
Facilitymedian $1,175 · 10th to 90th $389 to $8,318Professionalmedian $2,188 · 10th to 90th $1,288 to $3,311
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 $1,174.90 Median $1,584.89 Typical High $11,481.54 | Facility | None | $1,174.90 | $1,584.89 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,174.90 | $1,479.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $3,311.31 | Professional | None | $1,584.89 | $2,290.87 | $3,311.31 |
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 $1,348.96 Median $1,698.24 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,698.24 | $3,162.28 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,905.46 | Facility | None | $1,174.90 | $1,230.27 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,659.59 | $1,949.84 |
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 $1,202.26 Median $1,513.56 Typical High $2,951.21 | Professional | None | $1,202.26 | $1,513.56 | $2,951.21 |
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 $831.76 Median $831.76 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $794.33 Median $891.25 Typical High $1,737.80 | Professional | 51 · Multiple procedures | $794.33 | $891.25 | $1,737.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $354.81 Typical High $691.83 | Professional | 80 · Assistant surgeon | $323.59 | $354.81 | $691.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $223.87 Median $251.19 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $223.87 | $251.19 | $489.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $223.87 Median $251.19 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $223.87 | $251.19 | $489.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $251.19 Typical High $489.78 | Professional | AS · PA/NP assist | $223.87 | $251.19 | $489.78 |
Where North Carolina sits
The same service costs 13.1 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 $24,607MD $1,881
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.