How much rates vary
Facilitymedian $191 · 10th to 90th $81 to $1,047Professionalmedian $151 · 10th to 90th $78 to $240
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 $58.88 Median $95.50 Typical High $7,413.10 | Facility | None | $58.88 | $95.50 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $95.50 Typical High $123.03 | Professional | None | $58.88 | $95.50 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $281.84 | Facility | None | $141.25 | $208.93 | $281.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $245.47 | Professional | None | $95.50 | $186.21 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $912.01 | Facility | None | $346.74 | $501.19 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $194.98 | Professional | None | $75.86 | $109.65 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | None | $154.88 | $154.88 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $177.83 | Facility | None | $95.50 | $173.78 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $158.49 | Professional | None | $112.20 | $120.23 | $158.49 |
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 $57.54 Median $93.33 Typical High $199.53 | Professional | None | $57.54 | $93.33 | $199.53 |
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 $44.67 Median $64.57 Typical High $70.79 | Professional | 54 · Surgery only | $44.67 | $64.57 | $70.79 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $169.82 Median $263.03 Typical High $269.15 | Facility | 50 · Both sides | $169.82 | $263.03 | $269.15 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $56.23 Median $87.10 Typical High $89.13 | Facility | 51 · Multiple procedures | $56.23 | $87.10 | $89.13 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $181.97 Typical High $363.08 | Professional | 50 · Both sides | $181.97 | $181.97 | $363.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $60.26 Typical High $120.23 | Professional | 51 · Multiple procedures | $60.26 | $60.26 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $24.55 Typical High $48.98 | Professional | 80 · Assistant surgeon | $24.55 | $24.55 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $16.98 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $16.98 | $16.98 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $16.98 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $16.98 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $16.98 Typical High $33.88 | Professional | AS · PA/NP assist | $16.98 | $16.98 | $33.88 |
Where North Carolina sits
The same service costs 3.6 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· 6th of 51
$151
AK $251KY $69.18
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.