How much rates vary
Facilitymedian $1,023 · 10th to 90th $537 to $3,981Professionalmedian $977 · 10th to 90th $537 to $1,950
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 $660.69 Median $1,288.25 Typical High $8,317.64 | Facility | None | $660.69 | $1,288.25 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $758.58 | Professional | None | $660.69 | $660.69 | $758.58 |
BCBS 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 Setting Professional Modifier None Typical Low $537.03 Median $1,288.25 Typical High $1,995.26 | Professional | None | $537.03 | $1,288.25 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,096.48 Typical High $2,089.30 | Facility | None | $630.96 | $1,096.48 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,778.28 | Professional | None | $758.58 | $891.25 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $1,513.56 | Facility | None | $602.56 | $912.01 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,071.52 | Professional | None | $676.08 | $851.14 | $1,071.52 |
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 $660.69 Median $891.25 Typical High $1,621.81 | Professional | None | $660.69 | $891.25 | $1,621.81 |
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 $331.13 Median $331.13 Typical High $371.54 | Professional | 52 · Reduced service | $331.13 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 53 · Discontinued | $131.83 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $549.54 | Professional | 54 · Surgery only | $489.78 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $512.86 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $891.25 Median $1,380.38 Typical High $2,290.87 | Facility | 50 · Both sides | $891.25 | $1,380.38 | $2,290.87 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $295.12 Median $457.09 Typical High $758.58 | Facility | 51 · Multiple procedures | $295.12 | $457.09 | $758.58 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,288.25 Typical High $2,818.38 | Professional | 50 · Both sides | $1,000.00 | $1,288.25 | $2,818.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $426.58 Typical High $933.25 | Professional | 51 · Multiple procedures | $331.13 | $426.58 | $933.25 |
Where North Carolina sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$977
AK $2,692UT $457
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.