How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,380 to $9,120Professionalmedian $2,042 · 10th to 90th $1,288 to $3,715
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 $1,288.25 Median $1,445.44 Typical High $10,715.19 | Facility | None | $1,288.25 | $1,445.44 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,288.25 | $2,454.71 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,951.21 | Professional | None | $1,071.52 | $1,174.90 | $2,951.21 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $4,265.80 | Facility | None | $1,659.59 | $2,630.27 | $4,265.80 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $4,168.69 | Professional | None | $1,348.96 | $2,187.76 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $4,168.69 Typical High $6,606.93 | Facility | None | $1,584.89 | $4,168.69 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,621.81 | $2,884.03 |
Medcost Setting Facility Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,778.28 | $2,818.38 | $4,786.30 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,905.46 | $2,089.30 |
Oscar Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $19,054.61 | Facility | None | $3,162.28 | $3,162.28 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,388.44 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,388.44 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,698.24 | $3,019.95 |
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 $954.99 Median $954.99 Typical High $1,230.27 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,148.15 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $2,691.53 Median $4,168.69 Typical High $7,079.46 | Facility | 50 · Both sides | $2,691.53 | $4,168.69 | $7,079.46 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $891.25 Median $1,380.38 Typical High $2,344.23 | Facility | 51 · Multiple procedures | $891.25 | $1,380.38 | $2,344.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,818.38 Typical High $3,388.44 | Professional | 50 · Both sides | $1,862.09 | $2,818.38 | $3,388.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $954.99 Typical High $1,122.02 | Professional | 51 · Multiple procedures | $616.60 | $954.99 | $1,122.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $380.19 Typical High $446.68 | Professional | 80 · Assistant surgeon | $245.47 | $380.19 | $446.68 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $263.03 Typical High $316.23 | Professional | 81 · Minimal assistant surgeon | $173.78 | $263.03 | $316.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $263.03 Typical High $316.23 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $263.03 | $316.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $263.03 Typical High $316.23 | Professional | AS · PA/NP assist | $173.78 | $263.03 | $316.23 |
Where North Carolina sits
The same service costs 3.1 times more in Alaska than in Montana. 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
AK $12,450MT $3,992
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.