How much rates vary
Facilitymedian $6,026 · 10th to 90th $891 to $13,490Professionalmedian $1,175 · 10th to 90th $575 to $2,042
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 $436.52 Median $891.25 Typical High $7,413.10 | Facility | None | $436.52 | $891.25 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $794.33 Typical High $1,071.52 | Professional | None | $436.52 | $794.33 | $1,071.52 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $8,709.64 | Facility | None | $2,187.76 | $3,388.44 | $8,709.64 |
BCBS North Carolina Setting Professional Modifier None Typical Low $758.58 Median $1,479.11 Typical High $2,137.96 | Professional | None | $758.58 | $1,479.11 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $7,413.10 Typical High $12,022.64 | Facility | None | $1,023.29 | $7,413.10 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $1,513.56 | Professional | None | $549.54 | $933.25 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,288.25 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $6,025.60 Typical High $8,511.38 | Facility | None | $1,071.52 | $6,025.60 | $8,511.38 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,023.29 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $5,248.07 Typical High $17,782.79 | Facility | None | $1,380.38 | $5,248.07 | $17,782.79 |
United Setting Professional Modifier None Typical Low $436.52 Median $794.33 Typical High $1,513.56 | Professional | None | $436.52 | $794.33 | $1,513.56 |
9 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 54 · Surgery only Typical Low $331.13 Median $562.34 Typical High $660.69 | Professional | 54 · Surgery only | $331.13 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $524.81 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $309.03 | $524.81 | $616.60 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | AS · PA/NP assist | $69.18 | $69.18 | $69.18 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $1,949.84 Median $3,019.95 Typical High $5,495.41 | Facility | 51 · Multiple procedures | $1,949.84 | $3,019.95 | $5,495.41 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $512.86 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $512.86 | $512.86 | $1,096.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $208.93 Typical High $436.52 | Professional | 80 · Assistant surgeon | $208.93 | $208.93 | $436.52 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $144.54 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $144.54 | $144.54 | $309.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $144.54 Typical High $309.03 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $144.54 | $309.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $144.54 Typical High $309.03 | Professional | AS · PA/NP assist | $144.54 | $144.54 | $309.03 |
Where North Carolina sits
The same service costs 8.6 times more in Colorado 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
CO $14,248KY $1,661
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.