How much rates vary
Facilitymedian $813 · 10th to 90th $339 to $4,169Professionalmedian $562 · 10th to 90th $398 to $1,096
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 $363.08 Median $1,000.00 Typical High $7,943.28 | Facility | None | $363.08 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | None | $363.08 | $363.08 | $457.09 |
BCBS North Carolina Setting Facility Modifier None Typical Low $371.54 Median $575.44 Typical High $1,479.11 | Facility | None | $371.54 | $575.44 | $1,479.11 |
BCBS North Carolina Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,148.15 | Professional | None | $446.68 | $758.58 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,951.21 Typical High $4,365.16 | Facility | None | $457.09 | $2,951.21 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $977.24 | Professional | None | $436.52 | $524.81 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $2,511.89 | Facility | None | $338.84 | $446.68 | $2,511.89 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $758.58 | Professional | None | $371.54 | $512.86 | $758.58 |
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 $363.08 Median $478.63 Typical High $891.25 | Professional | None | $363.08 | $478.63 | $891.25 |
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 $177.83 Median $177.83 Typical High $223.87 | Professional | 52 · Reduced service | $177.83 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | 53 · Discontinued | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | 54 · Surgery only | $269.15 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $44.67 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $467.74 Median $676.08 Typical High $3,715.35 | Facility | 50 · Both sides | $467.74 | $676.08 | $3,715.35 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $158.49 Median $223.87 Typical High $1,258.93 | Facility | 51 · Multiple procedures | $158.49 | $223.87 | $1,258.93 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $776.25 Typical High $1,584.89 | Professional | 50 · Both sides | $691.83 | $776.25 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $257.04 Typical High $537.03 | Professional | 51 · Multiple procedures | $234.42 | $257.04 | $537.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $102.33 Typical High $213.80 | Professional | 80 · Assistant surgeon | $93.33 | $102.33 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $72.44 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $64.57 | $72.44 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $72.44 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $72.44 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $72.44 Typical High $147.91 | Professional | AS · PA/NP assist | $64.57 | $72.44 | $147.91 |
Where North Carolina sits
The same service costs 5.2 times more in Alaska than in Delaware. 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
AK $4,868DE $935
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.