How much rates vary
Facilitymedian $1,479 · 10th to 90th $468 to $4,571Professionalmedian $263 · 10th to 90th $155 to $631
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 $251.19 Median $1,000.00 Typical High $7,943.28 | Facility | None | $251.19 | $1,000.00 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $407.38 | Professional | None | $251.19 | $251.19 | $407.38 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,548.82 | $2,137.96 |
BCBS North Carolina Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $794.33 | Professional | None | $154.88 | $263.03 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,445.44 Typical High $2,137.96 | Facility | None | $457.09 | $1,445.44 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $295.12 Typical High $512.86 | Professional | None | $223.87 | $295.12 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $776.25 Typical High $1,513.56 | Facility | None | $371.54 | $776.25 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $489.78 | Professional | None | $239.88 | $316.23 | $489.78 |
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 $229.09 Median $281.84 Typical High $562.34 | Professional | None | $229.09 | $281.84 | $562.34 |
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 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | 52 · Reduced service | $125.89 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | 53 · Discontinued | $50.12 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | 54 · Surgery only | $186.21 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $32.36 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $562.34 Median $1,258.93 Typical High $3,235.94 | Facility | 50 · Both sides | $562.34 | $1,258.93 | $3,235.94 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $186.21 Median $416.87 Typical High $1,071.52 | Facility | 51 · Multiple procedures | $186.21 | $416.87 | $1,071.52 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $467.74 Typical High $758.58 | Professional | 50 · Both sides | $363.08 | $467.74 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $158.49 Typical High $251.19 | Professional | 51 · Multiple procedures | $120.23 | $158.49 | $251.19 |
Where North Carolina sits
The same service costs 6.4 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 $4,783MT $743
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.