How much rates vary
Facilitymedian $1,445 · 10th to 90th $525 to $5,370Professionalmedian $1,202 · 10th to 90th $646 to $1,778
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 $588.84 Median $1,000.00 Typical High $7,943.28 | Facility | None | $588.84 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $741.31 | Professional | None | $588.84 | $588.84 | $741.31 |
BCBS North Carolina Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $3,801.89 | Facility | None | $954.99 | $1,479.11 | $3,801.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,862.09 | Professional | None | $812.83 | $1,258.93 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,890.45 Typical High $6,456.54 | Facility | None | $602.56 | $3,890.45 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,621.81 | Professional | None | $707.95 | $851.14 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $3,801.89 | Facility | None | $691.83 | $1,071.52 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $977.24 | Professional | None | $660.69 | $831.76 | $977.24 |
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 $602.56 Median $776.25 Typical High $1,479.11 | Professional | None | $602.56 | $776.25 | $1,479.11 |
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 $295.12 Median $295.12 Typical High $363.08 | Professional | 52 · Reduced service | $295.12 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | 53 · Discontinued | $117.49 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | 54 · Surgery only | $446.68 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $74.13 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,047.13 Median $1,621.81 Typical High $7,762.47 | Facility | 50 · Both sides | $1,047.13 | $1,621.81 | $7,762.47 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $346.74 Median $537.03 Typical High $2,570.40 | Facility | 51 · Multiple procedures | $346.74 | $537.03 | $2,570.40 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,258.93 Typical High $2,630.27 | Professional | 50 · Both sides | $1,148.15 | $1,258.93 | $2,630.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $416.87 Typical High $870.96 | Professional | 51 · Multiple procedures | $389.05 | $416.87 | $870.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $165.96 Typical High $346.74 | Professional | 80 · Assistant surgeon | $154.88 | $165.96 | $346.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $117.49 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $107.15 | $117.49 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $117.49 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $117.49 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $117.49 Typical High $245.47 | Professional | AS · PA/NP assist | $107.15 | $117.49 | $245.47 |
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· 8th of 51
$1,230
AK $2,399UT $617
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.