How much rates vary
Facilitymedian $1,023 · 10th to 90th $389 to $7,244Professionalmedian $1,950 · 10th to 90th $1,349 to $3,236
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 $1,318.26 Typical High $7,943.28 | Facility | None | $1,288.25 | $1,318.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,318.26 | $1,318.26 | $1,584.89 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,348.96 Median $2,398.83 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,398.83 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $912.01 Typical High $29,512.09 | Facility | None | $489.78 | $912.01 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $3,467.37 | Professional | None | $1,479.11 | $1,778.28 | $3,467.37 |
Medcost Setting Facility Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $2,137.96 | Facility | None | $1,318.26 | $1,380.38 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,288.25 | $1,778.28 | $2,290.87 |
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 $1,258.93 Median $1,778.28 Typical High $3,235.94 | Professional | None | $1,258.93 | $1,778.28 | $3,235.94 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $812.83 Median $1,071.52 Typical High $1,905.46 | Professional | 51 · Multiple procedures | $812.83 | $1,071.52 | $1,905.46 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $426.58 Typical High $776.25 | Professional | 80 · Assistant surgeon | $331.13 | $426.58 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $229.09 Median $295.12 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $229.09 | $295.12 | $537.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $229.09 Median $295.12 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $229.09 | $295.12 | $537.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $295.12 Typical High $537.03 | Professional | AS · PA/NP assist | $229.09 | $295.12 | $537.03 |
Where North Carolina sits
The same service costs 16.9 times more in Maine than in Maryland. 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 $34,221MD $2,029
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.