How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,096 to $11,749Professionalmedian $891 · 10th to 90th $417 to $1,622
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 $912.01 Median $1,148.15 Typical High $12,022.64 | Facility | None | $912.01 | $1,148.15 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,737.80 | Professional | None (both parts) | $912.01 | $912.01 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $295.12 | Professional | 26 · Professional part | $229.09 | $229.09 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $676.08 Typical High $831.76 | Professional | TC · Technical part | $660.69 | $676.08 | $831.76 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $7,943.28 | Facility | None | $1,819.70 | $2,511.89 | $7,943.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $575.44 Typical High $741.31 | Professional | None (both parts) | $346.74 | $575.44 | $741.31 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $416.87 | $416.87 | $416.87 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $4,570.88 | Facility | None | $1,995.26 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,258.93 Typical High $2,398.83 | Professional | None (both parts) | $954.99 | $1,258.93 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $346.74 Typical High $660.69 | Professional | 26 · Professional part | $281.84 | $346.74 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $912.01 Typical High $1,698.24 | Professional | TC · Technical part | $660.69 | $912.01 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $2,454.71 Typical High $5,248.07 | Facility | None | $977.24 | $2,454.71 | $5,248.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $691.83 Median $977.24 Typical High $1,412.54 | Professional | None (both parts) | $691.83 | $977.24 | $1,412.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $295.12 Typical High $457.09 | Professional | 26 · Professional part | $218.78 | $295.12 | $457.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $676.08 Typical High $1,148.15 | Professional | TC · Technical part | $616.60 | $676.08 | $1,148.15 |
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 (both parts) Typical Low $870.96 Median $1,258.93 Typical High $2,398.83 | Professional | None (both parts) | $870.96 | $1,258.93 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $354.81 Typical High $645.65 | Professional | 26 · Professional part | $234.42 | $354.81 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $891.25 Typical High $1,778.28 | Professional | TC · Technical part | $616.60 | $891.25 | $1,778.28 |
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 $676.08 Median $676.08 Typical High $691.83 | Professional | 54 · Surgery only | $676.08 | $676.08 | $691.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $489.78 Typical High $1,258.93 | Professional | 51 · Multiple procedures | $346.74 | $489.78 | $1,258.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $194.98 Typical High $501.19 | Professional | 80 · Assistant surgeon | $138.04 | $194.98 | $501.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $134.90 Typical High $346.74 | Professional | 81 · Minimal assistant surgeon | $95.50 | $134.90 | $346.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $134.90 Typical High $346.74 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $134.90 | $346.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $134.90 Typical High $346.74 | Professional | AS · PA/NP assist | $95.50 | $134.90 | $346.74 |
Where North Carolina sits
The same service costs 4.2 times more in Wisconsin than in New York. 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· 49th of 51
$977
WI $3,631NY $871
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.