How much rates vary
Facilitymedian $1,905 · 10th to 90th $417 to $6,166Professionalmedian $676 · 10th to 90th $339 to $1,230
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 $338.84 Median $416.87 Typical High $7,413.10 | Facility | None | $338.84 | $416.87 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $478.63 | Professional | None | $338.84 | $416.87 | $478.63 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,089.30 | $2,818.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $295.12 Median $912.01 Typical High $1,318.26 | Professional | None | $295.12 | $912.01 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $3,630.78 Typical High $5,370.32 | Facility | None | $457.09 | $3,630.78 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $1,071.52 | Professional | None | $426.58 | $588.84 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $3,801.89 | Facility | None | $371.54 | $776.25 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $1,174.90 | Professional | None | $436.52 | $602.56 | $1,174.90 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $8,709.64 | Facility | None | $851.14 | $1,698.24 | $8,709.64 |
United Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,000.00 | Professional | None | $354.81 | $537.03 | $1,000.00 |
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 $169.82 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $169.82 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $67.61 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $309.03 Typical High $338.84 | Professional | 54 · Surgery only | $257.04 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $63.10 Typical High $67.61 | Professional | 55 · Aftercare only | $51.29 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $41.69 Typical High $44.67 | Professional | 56 · Pre-op care only | $33.88 | $41.69 | $44.67 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $562.34 Median $1,778.28 Typical High $7,762.47 | Facility | 50 · Both sides | $562.34 | $1,778.28 | $7,762.47 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $186.21 Median $588.84 Typical High $2,570.40 | Facility | 51 · Multiple procedures | $186.21 | $588.84 | $2,570.40 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,122.02 Typical High $1,819.70 | Professional | 50 · Both sides | $851.14 | $1,122.02 | $1,819.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $371.54 Typical High $602.56 | Professional | 51 · Multiple procedures | $281.84 | $371.54 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $147.91 Typical High $245.47 | Professional | 80 · Assistant surgeon | $112.20 | $147.91 | $245.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $79.43 Median $104.71 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $79.43 | $104.71 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $79.43 Median $104.71 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $79.43 | $104.71 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $104.71 Typical High $169.82 | Professional | AS · PA/NP assist | $79.43 | $104.71 | $169.82 |
Where North Carolina sits
The same service costs 6.3 times more in Colorado than in Montana. 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 $7,350MT $1,166
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.