How much rates vary
Facilitymedian $2,630 · 10th to 90th $891 to $6,166Professionalmedian $1,622 · 10th to 90th $891 to $2,239
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 $1,288.25 Typical High $8,317.64 | Facility | None | $891.25 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,584.89 | Professional | None | $812.83 | $891.25 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $4,786.30 | Facility | None | $2,290.87 | $3,388.44 | $4,786.30 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,737.80 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,511.89 Typical High $4,168.69 | Facility | None | $602.56 | $2,511.89 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,905.46 | Professional | None | $1,000.00 | $1,174.90 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $4,897.79 | Facility | None | $891.25 | $2,344.23 | $4,897.79 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,071.52 | $1,445.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $8,709.64 | Facility | None | $851.14 | $1,698.24 | $8,709.64 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,819.70 | Professional | None | $870.96 | $1,047.13 | $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 $436.52 Median $436.52 Typical High $512.86 | Professional | 52 · Reduced service | $436.52 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | 53 · Discontinued | $177.83 | $177.83 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $537.03 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $524.81 | $537.03 | $1,288.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $213.80 Typical High $512.86 | Professional | 80 · Assistant surgeon | $208.93 | $213.80 | $512.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $151.36 Typical High $363.08 | Professional | 81 · Minimal assistant surgeon | $147.91 | $151.36 | $363.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $151.36 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $151.36 | $363.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $151.36 Typical High $363.08 | Professional | AS · PA/NP assist | $147.91 | $151.36 | $363.08 |
Where North Carolina sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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 $7,351KY $2,168
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.