How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,202 to $10,000Professionalmedian $2,512 · 10th to 90th $1,413 to $3,981
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 $1,412.54 Median $1,513.56 Typical High $11,481.54 | Facility | None | $1,412.54 | $1,513.56 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,412.54 | $1,584.89 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,290.87 Median $3,801.89 Typical High $9,772.37 | Facility | None | $2,290.87 | $3,801.89 | $9,772.37 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $4,073.80 | Professional | None | $1,819.70 | $2,818.38 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $4,168.69 Typical High $6,025.60 | Facility | None | $1,258.93 | $4,168.69 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $3,630.78 | Professional | None | $1,479.11 | $1,819.70 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $4,365.16 | Facility | None | $1,174.90 | $1,995.26 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,698.24 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,202.26 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $3,388.44 | Professional | None | $1,318.26 | $1,778.28 | $3,388.44 |
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 $707.95 Median $707.95 Typical High $776.25 | Professional | 52 · Reduced service | $707.95 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 53 · Discontinued | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,071.52 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,737.80 Median $3,019.95 Typical High $8,709.64 | Facility | 50 · Both sides | $1,737.80 | $3,019.95 | $8,709.64 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $588.84 Median $1,000.00 Typical High $2,884.03 | Facility | 51 · Multiple procedures | $588.84 | $1,000.00 | $2,884.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,570.40 Typical High $5,754.40 | Professional | 50 · Both sides | $2,041.74 | $2,570.40 | $5,754.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $851.14 Typical High $1,905.46 | Professional | 51 · Multiple procedures | $676.08 | $851.14 | $1,905.46 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $338.84 Typical High $758.58 | Professional | 80 · Assistant surgeon | $269.15 | $338.84 | $758.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $239.88 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $190.55 | $239.88 | $537.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $239.88 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $190.55 | $239.88 | $537.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $239.88 Typical High $537.03 | Professional | AS · PA/NP assist | $190.55 | $239.88 | $537.03 |
Where North Carolina sits
The same service costs 3.0 times more in Alaska than in Vermont. 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 $12,999VT $4,294
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.