How much rates vary
Facilitymedian $776 · 10th to 90th $398 to $2,951Professionalmedian $302 · 10th to 90th $132 to $603
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 $131.83 Median $263.03 Typical High $7,585.78 | Facility | None | $131.83 | $263.03 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $331.13 | Professional | None | $131.83 | $263.03 | $331.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,659.59 | Facility | None | $416.87 | $645.65 | $1,659.59 |
BCBS North Carolina Setting Professional Modifier None Typical Low $138.04 Median $436.52 Typical High $645.65 | Professional | None | $138.04 | $436.52 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,737.80 | Facility | None | $549.54 | $912.01 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $436.52 | Professional | None | $112.20 | $239.88 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $588.84 Typical High $1,122.02 | Facility | None | $288.40 | $588.84 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $602.56 | Professional | None | $251.19 | $331.13 | $602.56 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $4,365.16 | Facility | None | $478.63 | $831.76 | $4,365.16 |
United Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $371.54 | Professional | None | $131.83 | $229.09 | $371.54 |
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 $66.07 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $66.07 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $26.30 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $173.78 Typical High $194.98 | Professional | 54 · Surgery only | $97.72 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $34.67 Typical High $39.81 | Professional | 55 · Aftercare only | $19.50 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $22.91 Typical High $26.30 | Professional | 56 · Pre-op care only | $13.18 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $162.18 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $91.20 | $162.18 | $181.97 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $562.34 Median $891.25 Typical High $1,659.59 | Facility | 50 · Both sides | $562.34 | $891.25 | $1,659.59 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $190.55 Median $302.00 Typical High $562.34 | Facility | 51 · Multiple procedures | $190.55 | $302.00 | $562.34 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $660.69 Typical High $891.25 | Professional | 50 · Both sides | $380.19 | $660.69 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $218.78 Typical High $295.12 | Professional | 51 · Multiple procedures | $125.89 | $218.78 | $295.12 |
Where North Carolina sits
The same service costs 4.7 times more in Alaska than in Virginia. 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· 17th of 51
$309
AK $851VA $182
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.