How much rates vary
Facilitymedian $2,089 · 10th to 90th $407 to $6,761Professionalmedian $219 · 10th to 90th $166 to $468
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 $181.97 Median $1,000.00 Typical High $7,943.28 | Facility | None | $181.97 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $309.03 | Professional | None | $181.97 | $181.97 | $309.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $3,311.31 | Facility | None | $831.76 | $1,318.26 | $3,311.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $602.56 | Professional | None | $165.96 | $218.78 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,344.23 Typical High $3,467.37 | Facility | None | $457.09 | $2,344.23 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $371.54 | Professional | None | $165.96 | $199.53 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,398.83 | Facility | None | $371.54 | $691.83 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $245.47 | Professional | None | $177.83 | $229.09 | $245.47 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,398.83 | $12,022.64 |
United Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $407.38 | Professional | None | $165.96 | $208.93 | $407.38 |
9 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 $138.04 Median $138.04 Typical High $177.83 | Professional | 54 · Surgery only | $138.04 | $138.04 | $177.83 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $562.34 Median $1,047.13 Typical High $5,248.07 | Facility | 50 · Both sides | $562.34 | $1,047.13 | $5,248.07 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $186.21 Median $346.74 Typical High $1,737.80 | Facility | 51 · Multiple procedures | $186.21 | $346.74 | $1,737.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $269.15 Median $346.74 Typical High $389.05 | Professional | 50 · Both sides | $269.15 | $346.74 | $389.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $114.82 Typical High $131.83 | Professional | 51 · Multiple procedures | $89.13 | $114.82 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $46.77 Typical High $52.48 | Professional | 80 · Assistant surgeon | $35.48 | $46.77 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $32.36 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $25.12 | $32.36 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $32.36 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $32.36 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $32.36 Typical High $36.31 | Professional | AS · PA/NP assist | $25.12 | $32.36 | $36.31 |
Where North Carolina sits
The same service costs 11.2 times more in Colorado 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
CO $6,406MT $571
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.