How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,023 to $6,310Professionalmedian $1,820 · 10th to 90th $1,148 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 $1,445.44 Median $1,479.11 Typical High $10,715.19 | Facility | None | $1,445.44 | $1,479.11 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,479.11 | $1,905.46 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,365.16 | Facility | None | $2,137.96 | $3,162.28 | $4,365.16 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,071.52 Median $2,884.03 Typical High $4,570.88 | Professional | None | $1,071.52 | $2,884.03 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,818.38 Typical High $3,467.37 | Facility | None | $912.01 | $2,818.38 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,258.93 | $2,818.38 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $3,467.37 | Facility | None | $831.76 | $1,737.80 | $3,467.37 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,479.11 | $1,513.56 | $2,089.30 |
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 $1,202.26 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,445.44 | $2,884.03 |
14 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 $741.31 Median $741.31 Typical High $954.99 | Professional | 52 · Reduced service | $741.31 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | 53 · Discontinued | $295.12 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,318.26 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,258.93 Median $2,630.27 Typical High $5,248.07 | Facility | 50 · Both sides | $1,258.93 | $2,630.27 | $5,248.07 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $416.87 Median $870.96 Typical High $1,737.80 | Facility | 51 · Multiple procedures | $416.87 | $870.96 | $1,737.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $2,290.87 Typical High $3,090.30 | Professional | 50 · Both sides | $2,238.72 | $2,290.87 | $3,090.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $741.31 Median $758.58 Typical High $1,023.29 | Professional | 51 · Multiple procedures | $741.31 | $758.58 | $1,023.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $309.03 Typical High $416.87 | Professional | 80 · Assistant surgeon | $295.12 | $309.03 | $416.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $208.93 Median $213.80 Typical High $288.40 | Professional | 81 · Minimal assistant surgeon | $208.93 | $213.80 | $288.40 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $208.93 Median $213.80 Typical High $288.40 | Professional | 82 · Assistant surgeon, no resident | $208.93 | $213.80 | $288.40 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $208.93 Median $213.80 Typical High $288.40 | Professional | AS · PA/NP assist | $208.93 | $213.80 | $288.40 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in Delaware. 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 $10,952DE $3,164
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.