How much rates vary
Facilitymedian $1,023 · 10th to 90th $380 to $7,762Professionalmedian $4,169 · 10th to 90th $2,291 to $5,495
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 $1,288.25 Median $2,238.72 Typical High $7,943.28 | Facility | None | $1,288.25 | $2,238.72 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $4,365.16 Typical High $6,165.95 | Professional | None | $2,951.21 | $4,365.16 | $6,165.95 |
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 $2,398.83 Median $2,951.21 Typical High $6,025.60 | Professional | None | $2,398.83 | $2,951.21 | $6,025.60 |
Medcost Setting Facility Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $8,511.38 | Facility | None | $2,238.72 | $2,691.53 | $8,511.38 |
Medcost Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $3,630.78 | Professional | None | $2,511.89 | $2,754.23 | $3,630.78 |
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 $2,137.96 Median $3,019.95 Typical High $5,495.41 | Professional | None | $2,137.96 | $3,019.95 | $5,495.41 |
11 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 $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | 53 · Discontinued | $446.68 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $1,819.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,288.25 Median $1,380.38 Typical High $3,235.94 | Professional | 51 · Multiple procedures | $1,288.25 | $1,380.38 | $3,235.94 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $549.54 Typical High $1,288.25 | Professional | 80 · Assistant surgeon | $512.86 | $549.54 | $1,288.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $389.05 Typical High $891.25 | Professional | 81 · Minimal assistant surgeon | $354.81 | $389.05 | $891.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $389.05 Typical High $891.25 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $389.05 | $891.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $389.05 Typical High $891.25 | Professional | AS · PA/NP assist | $354.81 | $389.05 | $891.25 |
Where North Carolina sits
The same service costs 7.6 times more in Alaska than in Texas. 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· 11th of 51
$3,981
AK $9,550TX $1,259
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.