How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,000 to $7,586Professionalmedian $676 · 10th to 90th $479 to $1,202
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 $446.68 Median $1,000.00 Typical High $7,943.28 | Facility | None | $446.68 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $707.95 | Professional | None | $446.68 | $446.68 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $776.25 Typical High $776.25 | Professional | None | $407.38 | $776.25 | $776.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $5,888.44 | Facility | None | $1,479.11 | $2,344.23 | $5,888.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,258.93 | Professional | None | $588.84 | $812.83 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $3,388.44 Typical High $5,495.41 | Facility | None | $1,584.89 | $3,388.44 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $1,230.27 | Professional | None | $478.63 | $575.44 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $4,897.79 | Facility | None | $1,148.15 | $1,778.28 | $4,897.79 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $758.58 | Professional | None | $467.74 | $575.44 | $758.58 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,398.83 | $12,022.64 |
United Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $1,258.93 | Professional | None | $416.87 | $562.34 | $1,258.93 |
7 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 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | 54 · Surgery only | $338.84 | $338.84 | $398.11 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $575.44 Median $891.25 Typical High $2,454.71 | Facility | 51 · Multiple procedures | $575.44 | $891.25 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $263.03 Median $295.12 Typical High $645.65 | Professional | 51 · Multiple procedures | $263.03 | $295.12 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $117.49 Typical High $263.03 | Professional | 80 · Assistant surgeon | $104.71 | $117.49 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $83.18 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $74.13 | $83.18 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $83.18 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $83.18 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $83.18 Typical High $181.97 | Professional | AS · PA/NP assist | $74.13 | $83.18 | $181.97 |
Where North Carolina sits
The same service costs 4.3 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· 18th of 51
$741
AK $1,862NY $437
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.