How much rates vary
Facilitymedian $3,162 · 10th to 90th $955 to $10,965Professionalmedian $1,230 · 10th to 90th $692 to $1,698
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 $707.95 Median $1,000.00 Typical High $7,943.28 | Facility | None | $707.95 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | None | $707.95 | $707.95 | $851.14 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $7,762.47 | Facility | None | $1,949.84 | $3,090.30 | $7,762.47 |
BCBS North Carolina Setting Professional Modifier None Typical Low $870.96 Median $1,445.44 Typical High $1,778.28 | Professional | None | $870.96 | $1,445.44 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,235.94 Typical High $5,248.07 | Facility | None | $676.08 | $3,235.94 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,778.28 | Professional | None | $676.08 | $724.44 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,122.02 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $5,128.61 | Facility | None | $1,513.56 | $2,398.83 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
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 $588.84 Median $812.83 Typical High $1,778.28 | Professional | None | $588.84 | $812.83 | $1,778.28 |
10 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 $537.03 Median $537.03 Typical High $602.56 | Professional | 54 · Surgery only | $537.03 | $537.03 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $562.34 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $2,290.87 Median $3,548.13 Typical High $7,762.47 | Facility | 50 · Both sides | $2,290.87 | $3,548.13 | $7,762.47 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $758.58 Median $1,174.90 Typical High $2,570.40 | Facility | 51 · Multiple procedures | $758.58 | $1,174.90 | $2,570.40 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,071.52 Typical High $2,884.03 | Professional | 50 · Both sides | $1,071.52 | $1,071.52 | $2,884.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $363.08 Typical High $977.24 | Professional | 51 · Multiple procedures | $363.08 | $363.08 | $977.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $144.54 Typical High $363.08 | Professional | 80 · Assistant surgeon | $144.54 | $144.54 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $100.00 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $100.00 | $100.00 | $251.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $100.00 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $100.00 | $251.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $100.00 Typical High $251.19 | Professional | AS · PA/NP assist | $100.00 | $100.00 | $251.19 |
Where North Carolina sits
The same service costs 4.7 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 $9,511KY $2,029
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.