How much rates vary
Facilitymedian $1,023 · 10th to 90th $380 to $7,762Professionalmedian $3,388 · 10th to 90th $2,399 to $5,888
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 $2,344.23 Typical High $7,943.28 | Facility | None | $1,288.25 | $2,344.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,818.38 | Professional | None | $2,344.23 | $2,344.23 | $2,818.38 |
BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $4,168.69 Typical High $6,309.57 | Professional | None | $2,511.89 | $4,168.69 | $6,309.57 |
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 $2,511.89 Median $3,090.30 Typical High $6,309.57 | Professional | None | $2,511.89 | $3,090.30 | $6,309.57 |
Medcost Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $8,912.51 | Facility | None | $2,344.23 | $2,818.38 | $8,912.51 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,691.53 | $2,884.03 | $3,801.89 |
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 $2,238.72 Median $3,162.28 Typical High $5,754.40 | Professional | None | $2,238.72 | $3,162.28 | $5,754.40 |
12 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 $1,174.90 Median $1,174.90 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | 53 · Discontinued | $467.74 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,905.46 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $4,073.80 Median $4,365.16 Typical High $10,000.00 | Professional | 50 · Both sides | $4,073.80 | $4,365.16 | $10,000.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,348.96 Median $1,445.44 Typical High $3,311.31 | Professional | 51 · Multiple procedures | $1,348.96 | $1,445.44 | $3,311.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $537.03 Median $575.44 Typical High $1,348.96 | Professional | 80 · Assistant surgeon | $537.03 | $575.44 | $1,348.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $380.19 Median $407.38 Typical High $933.25 | Professional | 81 · Minimal assistant surgeon | $380.19 | $407.38 | $933.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $380.19 Median $407.38 Typical High $933.25 | Professional | 82 · Assistant surgeon, no resident | $380.19 | $407.38 | $933.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $380.19 Median $407.38 Typical High $933.25 | Professional | AS · PA/NP assist | $380.19 | $407.38 | $933.25 |
Where North Carolina sits
The same service costs 16.2 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· 21st of 51
$3,311
AK $9,772TX $603
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.