How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,202 to $10,000Professionalmedian $3,548 · 10th to 90th $1,905 to $5,495
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 $1,445.44 Median $1,862.09 Typical High $10,715.19 | Facility | None | $1,445.44 | $1,862.09 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,737.80 | $1,862.09 | $2,041.74 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3,890.45 Median $5,888.44 Typical High $7,943.28 | Facility | None | $3,890.45 | $5,888.44 | $7,943.28 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,715.35 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,365.16 Typical High $7,244.36 | Facility | None | $602.56 | $4,365.16 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $4,897.79 | Professional | None | $2,089.30 | $2,398.83 | $4,897.79 |
Medcost Setting Facility Modifier None Typical Low $1,862.09 Median $4,265.80 Typical High $8,912.51 | Facility | None | $1,862.09 | $4,265.80 | $8,912.51 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $3,019.95 | Professional | None | $2,041.74 | $2,398.83 | $3,019.95 |
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 $1,819.70 Median $2,454.71 Typical High $4,570.88 | Professional | None | $1,819.70 | $2,454.71 | $4,570.88 |
12 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 $912.01 Median $912.01 Typical High $1,023.29 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | 53 · Discontinued | $371.54 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $1,445.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $3,548.13 Typical High $7,943.28 | Professional | 50 · Both sides | $3,090.30 | $3,548.13 | $7,943.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,023.29 Median $1,202.26 Typical High $2,630.27 | Professional | 51 · Multiple procedures | $1,023.29 | $1,202.26 | $2,630.27 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $478.63 Typical High $1,047.13 | Professional | 80 · Assistant surgeon | $407.38 | $478.63 | $1,047.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $288.40 Median $331.13 Typical High $741.31 | Professional | 81 · Minimal assistant surgeon | $288.40 | $331.13 | $741.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $288.40 Median $331.13 Typical High $741.31 | Professional | 82 · Assistant surgeon, no resident | $288.40 | $331.13 | $741.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $331.13 Typical High $741.31 | Professional | AS · PA/NP assist | $288.40 | $331.13 | $741.31 |
Where North Carolina sits
The same service costs 6.9 times more in Alaska than in Texas. 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· 8th of 51
$3,715
AK $7,586TX $1,096
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.