How much rates vary
Facilitymedian $631 · 10th to 90th $339 to $3,311Professionalmedian $537 · 10th to 90th $224 to $1,072
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 $346.74 Median $1,000.00 Typical High $7,943.28 | Facility | None | $346.74 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | None | $346.74 | $346.74 | $446.68 |
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 $223.87 Median $741.31 Typical High $1,122.02 | Professional | None | $223.87 | $741.31 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,290.87 Typical High $3,388.44 | Facility | None | $457.09 | $2,290.87 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $954.99 | Professional | None | $426.58 | $501.19 | $954.99 |
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 $489.78 Typical High $575.44 | Professional | None | $371.54 | $489.78 | $575.44 |
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 $354.81 Median $457.09 Typical High $870.96 | Professional | None | $354.81 | $457.09 | $870.96 |
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 $173.78 Median $173.78 Typical High $218.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | 53 · Discontinued | $69.18 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | 54 · Surgery only | $263.03 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $43.65 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $467.74 Median $676.08 Typical High $5,495.41 | Facility | 50 · Both sides | $467.74 | $676.08 | $5,495.41 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $158.49 Median $223.87 Typical High $1,819.70 | Facility | 51 · Multiple procedures | $158.49 | $223.87 | $1,819.70 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $741.31 Typical High $1,548.82 | Professional | 50 · Both sides | $676.08 | $741.31 | $1,548.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $245.47 Typical High $512.86 | Professional | 51 · Multiple procedures | $223.87 | $245.47 | $512.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $97.72 Typical High $204.17 | Professional | 80 · Assistant surgeon | $91.20 | $97.72 | $204.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $69.18 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $63.10 | $69.18 | $144.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $63.10 Median $69.18 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $63.10 | $69.18 | $144.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $69.18 Typical High $144.54 | Professional | AS · PA/NP assist | $63.10 | $69.18 | $144.54 |
Where North Carolina sits
The same service costs 3.9 times more in Alaska than in New York. 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· 23rd of 51
$550
AK $1,413NY $363
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.