How much rates vary
Facilitymedian $1,778 · 10th to 90th $851 to $5,623Professionalmedian $724 · 10th to 90th $117 to $1,862
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 $741.31 Median $1,445.44 Typical High $10,715.19 | Facility | None | $741.31 | $1,445.44 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,174.90 | Professional | None | $741.31 | $741.31 | $1,174.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $5,128.61 | Facility | None | $1,288.25 | $2,041.74 | $5,128.61 |
BCBS North Carolina Setting Professional Modifier None Typical Low $117.49 Median $676.08 Typical High $2,398.83 | Professional | None | $117.49 | $676.08 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,089.30 Typical High $3,981.07 | Facility | None | $1,230.27 | $2,089.30 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,479.11 | Professional | None | $562.34 | $676.08 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $2,344.23 | Facility | None | $1,071.52 | $1,230.27 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,513.56 | Professional | None | $707.95 | $707.95 | $1,513.56 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $8,709.64 | Facility | None | $851.14 | $1,698.24 | $8,709.64 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,548.82 | Professional | None | $616.60 | $776.25 | $1,548.82 |
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 52 · Reduced service Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $549.54 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $660.69 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,584.89 Median $1,949.84 Typical High $3,890.45 | Facility | 50 · Both sides | $1,584.89 | $1,949.84 | $3,890.45 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $537.03 Median $645.65 Typical High $1,318.26 | Facility | 51 · Multiple procedures | $537.03 | $645.65 | $1,318.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,071.52 Typical High $3,019.95 | Professional | 50 · Both sides | $1,071.52 | $1,071.52 | $3,019.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $354.81 Median $354.81 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $354.81 | $354.81 | $1,000.00 |
Where North Carolina sits
The same service costs 4.6 times more in Alaska than in New York. 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· 48th of 51
$741
AK $3,090NY $676
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.