How much rates vary
Facilitymedian $871 · 10th to 90th $363 to $4,677Professionalmedian $3,548 · 10th to 90th $1,995 to $5,248
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,548.13 | Professional | None | $2,089.30 | $2,454.71 | $3,548.13 |
Ambetter Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,089.30 | $3,715.35 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $5,888.44 | Professional | None | $2,691.53 | $3,630.78 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $2,187.76 | Facility | None | $478.63 | $645.65 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $4,786.30 | Professional | None | $1,949.84 | $2,630.27 | $4,786.30 |
Medcost Setting Facility Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $6,456.54 | Facility | None | $2,454.71 | $2,951.21 | $6,456.54 |
Medcost Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,995.26 | $2,344.23 | $4,073.80 |
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 $1,862.09 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,862.09 | $2,454.71 | $4,570.88 |
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 $1,071.52 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,071.52 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $426.58 | $489.78 | $489.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,174.90 Typical High $3,162.28 | Professional | 51 · Multiple procedures | $1,000.00 | $1,174.90 | $3,162.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $467.74 Typical High $1,258.93 | Professional | 80 · Assistant surgeon | $398.11 | $467.74 | $1,258.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $281.84 Median $331.13 Typical High $870.96 | Professional | 81 · Minimal assistant surgeon | $281.84 | $331.13 | $870.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $281.84 Median $331.13 Typical High $870.96 | Professional | 82 · Assistant surgeon, no resident | $281.84 | $331.13 | $870.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $331.13 Typical High $870.96 | Professional | AS · PA/NP assist | $281.84 | $331.13 | $870.96 |
Where North Carolina sits
The same service costs 4.3 times more in Alaska 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
AK $12,394AR $2,907
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.