How much rates vary
Facilitymedian $776 · 10th to 90th $339 to $3,388Professionalmedian $851 · 10th to 90th $589 to $1,660
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 $549.54 Median $1,000.00 Typical High $7,943.28 | Facility | None | $549.54 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | None | $549.54 | $549.54 | $691.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $1,479.11 | Facility | None | $371.54 | $562.34 | $1,479.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,737.80 | Professional | None | $645.65 | $1,174.90 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $2,454.71 Typical High $4,073.80 | Facility | None | $416.87 | $2,454.71 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,479.11 | Professional | None | $660.69 | $794.33 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $2,511.89 | Facility | None | $316.23 | $489.78 | $2,511.89 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,071.52 | Professional | None | $575.44 | $776.25 | $1,071.52 |
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 $562.34 Median $724.44 Typical High $1,348.96 | Professional | None | $562.34 | $724.44 | $1,348.96 |
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 $275.42 Median $275.42 Typical High $338.84 | Professional | 52 · Reduced service | $275.42 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | 53 · Discontinued | $109.65 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $512.86 | Professional | 54 · Surgery only | $407.38 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $67.61 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $467.74 Median $724.44 Typical High $3,715.35 | Facility | 50 · Both sides | $467.74 | $724.44 | $3,715.35 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $158.49 Median $245.47 Typical High $1,258.93 | Facility | 51 · Multiple procedures | $158.49 | $245.47 | $1,258.93 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,174.90 Typical High $2,454.71 | Professional | 50 · Both sides | $1,071.52 | $1,174.90 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $389.05 Typical High $812.83 | Professional | 51 · Multiple procedures | $363.08 | $389.05 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $154.88 Typical High $323.59 | Professional | 80 · Assistant surgeon | $144.54 | $154.88 | $323.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $109.65 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $100.00 | $109.65 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $109.65 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $109.65 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $109.65 Typical High $229.09 | Professional | AS · PA/NP assist | $100.00 | $109.65 | $229.09 |
Where North Carolina sits
The same service costs 3.9 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
$851
AK $2,239UT $575
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.