How much rates vary
Facilitymedian $56 · 10th to 90th $30 to $912Professionalmedian $66 · 10th to 90th $45 to $129
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 $33.11 Median $48.98 Typical High $5,495.41 | Facility | None | $33.11 | $48.98 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $74.13 | Professional | None | $33.11 | $48.98 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
BCBS North Carolina Setting Facility Modifier None Typical Low $19.50 Median $30.90 Typical High $77.62 | Facility | None | $19.50 | $30.90 | $77.62 |
BCBS North Carolina Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $134.90 | Professional | None | $53.70 | $85.11 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $43.65 Typical High $100.00 | Facility | None | $27.54 | $43.65 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $107.15 | Professional | None | $46.77 | $58.88 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | None | $85.11 | $85.11 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $33.88 Typical High $53.70 | Facility | None | $23.44 | $33.88 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $79.43 | Professional | None | $53.70 | $64.57 | $79.43 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $1,096.48 | Facility | None | $77.62 | $165.96 | $1,096.48 |
United Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $100.00 | Professional | None | $33.11 | $51.29 | $100.00 |
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 $25.12 Median $34.67 Typical High $37.15 | Professional | 54 · Surgery only | $25.12 | $34.67 | $37.15 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $33.11 Median $51.29 Typical High $79.43 | Facility | 50 · Both sides | $33.11 | $51.29 | $79.43 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $10.96 Median $16.98 Typical High $26.30 | Facility | 51 · Multiple procedures | $10.96 | $16.98 | $26.30 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $97.72 Typical High $177.83 | Professional | 50 · Both sides | $91.20 | $97.72 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $32.36 Typical High $58.88 | Professional | 51 · Multiple procedures | $30.20 | $32.36 | $58.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $12.88 Typical High $23.44 | Professional | 80 · Assistant surgeon | $12.88 | $12.88 | $23.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $9.12 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $8.91 | $9.12 | $16.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $9.12 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $9.12 | $16.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $9.12 Typical High $16.60 | Professional | AS · PA/NP assist | $8.91 | $9.12 | $16.60 |
Where North Carolina sits
The same service costs 3.3 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.
North Carolina· 13th of 51
$66.07
AK $135KY $40.74
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.