How much rates vary
Facilitymedian $741 · 10th to 90th $107 to $3,162Professionalmedian $1,023 · 10th to 90th $631 to $1,738
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 $575.44 Median $1,148.15 Typical High $7,943.28 | Facility | None | $575.44 | $1,148.15 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | None | $575.44 | $575.44 | $691.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $3,890.45 | Facility | None | $1,949.84 | $2,884.03 | $3,890.45 |
BCBS North Carolina Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,737.80 | Professional | None | $758.58 | $1,047.13 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,819.70 | Facility | None | $489.78 | $776.25 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,479.11 | Professional | None | $691.83 | $724.44 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,096.48 | $1,096.48 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $1,778.28 | Facility | None | $446.68 | $707.95 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,230.27 | Professional | None | $691.83 | $776.25 | $1,230.27 |
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 $501.19 Median $707.95 Typical High $1,412.54 | Professional | None | $501.19 | $707.95 | $1,412.54 |
11 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 $288.40 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | 54 · Surgery only | $436.52 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $67.61 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $223.87 Median $346.74 Typical High $891.25 | Facility | 51 · Multiple procedures | $223.87 | $346.74 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $389.05 Typical High $691.83 | Professional | 51 · Multiple procedures | $389.05 | $389.05 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $154.88 Typical High $275.42 | Professional | 80 · Assistant surgeon | $154.88 | $154.88 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $109.65 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $107.15 | $109.65 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $109.65 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $109.65 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $109.65 Typical High $194.98 | Professional | AS · PA/NP assist | $107.15 | $109.65 | $194.98 |
Where North Carolina sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 9th of 51
$1,023
AK $2,399UT $490
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.