How much rates vary
Facilitymedian $513 · 10th to 90th $331 to $1,862Professionalmedian $813 · 10th to 90th $562 to $1,585
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 $512.86 Median $1,000.00 Typical High $7,943.28 | Facility | None | $512.86 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | None | $512.86 | $512.86 | $645.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $363.08 Median $537.03 Typical High $724.44 | Facility | None | $363.08 | $537.03 | $724.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,659.59 | Professional | None | $707.95 | $1,096.48 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $851.14 | Facility | None | $363.08 | $524.81 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,412.54 | Professional | None | $616.60 | $741.31 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $776.25 | Facility | None | $316.23 | $489.78 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,000.00 | Professional | None | $537.03 | $741.31 | $1,000.00 |
United Setting Facility Modifier None Typical Low $288.40 Median $501.19 Typical High $2,754.23 | Facility | None | $288.40 | $501.19 | $2,754.23 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,288.25 | Professional | None | $524.81 | $691.83 | $1,288.25 |
13 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 $257.04 Median $257.04 Typical High $323.59 | Professional | 52 · Reduced service | $257.04 | $257.04 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | 53 · Discontinued | $102.33 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | 54 · Surgery only | $389.05 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $64.57 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $467.74 Median $724.44 Typical High $1,174.90 | Facility | 50 · Both sides | $467.74 | $724.44 | $1,174.90 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $158.49 Median $245.47 Typical High $389.05 | Facility | 51 · Multiple procedures | $158.49 | $245.47 | $389.05 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,096.48 Typical High $2,290.87 | Professional | 50 · Both sides | $1,023.29 | $1,096.48 | $2,290.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $371.54 Typical High $758.58 | Professional | 51 · Multiple procedures | $338.84 | $371.54 | $758.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $147.91 Typical High $302.00 | Professional | 80 · Assistant surgeon | $134.90 | $147.91 | $302.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $102.33 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $95.50 | $102.33 | $213.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $102.33 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $102.33 | $213.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $102.33 Typical High $213.80 | Professional | AS · PA/NP assist | $95.50 | $102.33 | $213.80 |
Where North Carolina sits
The same service costs 4.0 times more in Alaska than in Utah. 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.
North Carolina· 22nd of 51
$741
AK $2,089UT $525
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.