How much rates vary
Facilitymedian $3,020 · 10th to 90th $646 to $16,218Professionalmedian $1,950 · 10th to 90th $955 to $3,311
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 $1,348.96 Median $1,348.96 Typical High $14,125.38 | Facility | None | $1,348.96 | $1,348.96 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,348.96 | $1,737.80 |
Ambetter Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,122.02 | $1,995.26 | $3,311.31 |
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 $851.14 Median $1,513.56 Typical High $3,630.78 | Professional | None | $851.14 | $1,513.56 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,513.56 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $2,187.76 | Professional | None | $954.99 | $1,380.38 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $17,782.79 | Facility | None | $1,380.38 | $4,365.16 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $3,311.31 | Professional | None | $1,000.00 | $1,445.44 | $3,311.31 |
6 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 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,096.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $691.83 Typical High $1,905.46 | Professional | 51 · Multiple procedures | $478.63 | $691.83 | $1,905.46 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $275.42 Typical High $776.25 | Professional | 80 · Assistant surgeon | $190.55 | $275.42 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $131.83 Median $190.55 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $131.83 | $190.55 | $537.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $131.83 Median $190.55 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $131.83 | $190.55 | $537.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $190.55 Typical High $537.03 | Professional | AS · PA/NP assist | $131.83 | $190.55 | $537.03 |
Where North Carolina sits
The same service costs 5.7 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 $13,752KY $2,420
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.