How much rates vary
Facilitymedian $794 · 10th to 90th $107 to $3,162Professionalmedian $1,445 · 10th to 90th $741 to $1,995
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 $676.08 Median $1,148.15 Typical High $7,943.28 | Facility | None | $676.08 | $1,148.15 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None | $676.08 | $676.08 | $794.33 |
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 $891.25 Median $1,513.56 Typical High $1,995.26 | Professional | None | $891.25 | $1,513.56 | $1,995.26 |
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 $794.33 Median $831.76 Typical High $1,698.24 | Professional | None | $794.33 | $831.76 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,258.93 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,778.28 | Facility | None | $524.81 | $831.76 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,445.44 | Professional | None | $831.76 | $891.25 | $1,445.44 |
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 $588.84 Median $812.83 Typical High $1,621.81 | Professional | None | $588.84 | $812.83 | $1,621.81 |
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 $338.84 Median $338.84 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 53 · Discontinued | $134.90 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | 54 · Surgery only | $501.19 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $79.43 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $257.04 Median $416.87 Typical High $891.25 | Facility | 51 · Multiple procedures | $257.04 | $416.87 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $446.68 Typical High $794.33 | Professional | 51 · Multiple procedures | $446.68 | $446.68 | $794.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $177.83 Typical High $316.23 | Professional | 80 · Assistant surgeon | $177.83 | $177.83 | $316.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $125.89 Typical High $223.87 | Professional | 81 · Minimal assistant surgeon | $123.03 | $125.89 | $223.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $125.89 Typical High $223.87 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $125.89 | $223.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $125.89 Typical High $223.87 | Professional | AS · PA/NP assist | $123.03 | $125.89 | $223.87 |
Where North Carolina sits
The same service costs 4.7 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· 4th of 51
$1,445
AK $2,754UT $589
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.