How much rates vary
Facilitymedian $10,000 · 10th to 90th $617 to $50,119Professionalmedian $977 · 10th to 90th $525 to $1,445
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 $512.86 Median $831.76 Typical High $7,943.28 | Facility | None | $512.86 | $831.76 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $891.25 | Professional | None | $512.86 | $512.86 | $891.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,691.53 Median $3,981.07 Typical High $5,248.07 | Facility | None | $2,691.53 | $3,981.07 | $5,248.07 |
BCBS North Carolina Setting Professional Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,445.44 | Professional | None | $660.69 | $1,047.13 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $37,153.52 Typical High $50,118.72 | Facility | None | $588.84 | $37,153.52 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,348.96 | Professional | None | $524.81 | $707.95 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $33,113.11 | Facility | None | $524.81 | $977.24 | $33,113.11 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $741.31 Typical High $851.14 | Professional | None | $489.78 | $741.31 | $851.14 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $19,952.62 Typical High $46,773.51 | Facility | None | $2,238.72 | $19,952.62 | $46,773.51 |
United Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,258.93 | Professional | None | $501.19 | $724.44 | $1,258.93 |
14 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 $257.04 Median $257.04 Typical High $288.40 | Professional | 52 · Reduced service | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 53 · Discontinued | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $436.52 | Professional | 54 · Surgery only | $380.19 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $407.38 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $25,118.86 Typical High $67,608.30 | Facility | 50 · Both sides | $776.25 | $25,118.86 | $67,608.30 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $263.03 Median $8,511.38 Typical High $22,908.68 | Facility | 51 · Multiple procedures | $263.03 | $8,511.38 | $22,908.68 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,148.15 Typical High $2,137.96 | Professional | 50 · Both sides | $741.31 | $1,148.15 | $2,137.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $389.05 Typical High $724.44 | Professional | 51 · Multiple procedures | $245.47 | $389.05 | $724.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $154.88 Typical High $288.40 | Professional | 80 · Assistant surgeon | $97.72 | $154.88 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $107.15 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $69.18 | $107.15 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $107.15 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $107.15 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $107.15 Typical High $199.53 | Professional | AS · PA/NP assist | $69.18 | $107.15 | $199.53 |
Where North Carolina sits
The same service costs 24.6 times more in Alaska than in Montana. 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 $43,875MT $1,787
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.