How much rates vary
Facilitymedian $891 · 10th to 90th $380 to $6,761Professionalmedian $1,585 · 10th to 90th $912 to $2,344
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 $891.25 Median $891.25 Typical High $1,174.90 | Facility | None | $891.25 | $891.25 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,513.56 | Professional | None | $812.83 | $891.25 | $1,513.56 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,258.93 | $1,584.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,698.24 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $29,512.09 | Facility | None | $478.63 | $851.14 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,258.93 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $3,801.89 | Facility | None | $891.25 | $1,071.52 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,148.15 | $1,659.59 |
United Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $5,011.87 | Facility | None | $338.84 | $851.14 | $5,011.87 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,819.70 | Professional | None | $870.96 | $1,096.48 | $1,819.70 |
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 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | 52 · Reduced service | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | 53 · Discontinued | $177.83 | $177.83 | $208.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $549.54 Median $575.44 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $549.54 | $575.44 | $1,288.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $229.09 Typical High $512.86 | Professional | 80 · Assistant surgeon | $223.87 | $229.09 | $512.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $158.49 Typical High $363.08 | Professional | 81 · Minimal assistant surgeon | $154.88 | $158.49 | $363.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $158.49 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $154.88 | $158.49 | $363.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $158.49 Typical High $363.08 | Professional | AS · PA/NP assist | $154.88 | $158.49 | $363.08 |
Where North Carolina sits
The same service costs 10.3 times more in Maine than in Arkansas. 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
ME $15,629AR $1,524
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.