How much rates vary
Facilitymedian $1,514 · 10th to 90th $813 to $4,571Professionalmedian $525 · 10th to 90th $191 to $1,445
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 $151.36 Median $851.14 Typical High $7,585.78 | Facility | None | $151.36 | $851.14 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $776.25 Typical High $1,122.02 | Professional | None | $151.36 | $776.25 | $1,122.02 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,584.89 | $2,137.96 |
BCBS North Carolina Setting Professional Modifier None Typical Low $229.09 Median $467.74 Typical High $2,041.74 | Professional | None | $229.09 | $467.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,737.80 Typical High $2,630.27 | Facility | None | $851.14 | $1,737.80 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $549.54 Typical High $1,202.26 | Professional | None | $190.55 | $549.54 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,513.56 | Facility | None | $851.14 | $1,318.26 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,174.90 | Professional | None | $776.25 | $776.25 | $1,174.90 |
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 $169.82 Median $524.81 Typical High $1,000.00 | Professional | None | $169.82 | $524.81 | $1,000.00 |
6 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 $112.20 Median $467.74 Typical High $630.96 | Professional | 54 · Surgery only | $112.20 | $467.74 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $436.52 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $104.71 | $436.52 | $588.84 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,258.93 Median $1,949.84 Typical High $3,235.94 | Facility | 50 · Both sides | $1,258.93 | $1,949.84 | $3,235.94 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $416.87 Median $660.69 Typical High $1,071.52 | Facility | 51 · Multiple procedures | $416.87 | $660.69 | $1,071.52 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,148.15 Typical High $1,778.28 | Professional | 50 · Both sides | $1,148.15 | $1,148.15 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $389.05 Typical High $588.84 | Professional | 51 · Multiple procedures | $389.05 | $389.05 | $588.84 |
Where North Carolina sits
The same service costs 3.5 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 $4,667MT $1,347
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.