How much rates vary
Facilitymedian $2,399 · 10th to 90th $708 to $14,454Professionalmedian $631 · 10th to 90th $339 to $1,318
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 $645.65 Median $1,380.38 Typical High $10,964.78 | Facility | None | $645.65 | $1,380.38 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $1,445.44 | Professional | None (both parts) | $645.65 | $645.65 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $380.19 | Professional | 26 · Professional part | $218.78 | $218.78 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $416.87 | $426.58 | $758.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $309.03 Typical High $407.38 | Professional | 26 · Professional part | $275.42 | $309.03 | $407.38 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $524.81 Typical High $691.83 | Professional | None (both parts) | $302.00 | $524.81 | $691.83 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $19,054.61 Median $26,302.68 Typical High $35,481.34 | Facility | None | $19,054.61 | $26,302.68 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $954.99 Typical High $1,905.46 | Professional | None (both parts) | $338.84 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $323.59 Typical High $616.60 | Professional | 26 · Professional part | $245.47 | $323.59 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $630.96 Typical High $1,258.93 | Professional | TC · Technical part | $81.28 | $630.96 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $724.44 Typical High $1,288.25 | Facility | None | $588.84 | $724.44 | $1,288.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $489.78 Median $758.58 Typical High $1,148.15 | Professional | None (both parts) | $489.78 | $758.58 | $1,148.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $354.81 Typical High $426.58 | Professional | 26 · Professional part | $229.09 | $354.81 | $426.58 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $512.86 Typical High $891.25 | Professional | TC · Technical part | $114.82 | $512.86 | $891.25 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $12,022.64 | Facility | None | $1,047.13 | $2,398.83 | $12,022.64 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $912.01 Typical High $1,819.70 | Professional | None (both parts) | $446.68 | $912.01 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $316.23 Typical High $602.56 | Professional | 26 · Professional part | $223.87 | $316.23 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $588.84 Typical High $1,202.26 | Professional | TC · Technical part | $109.65 | $588.84 | $1,202.26 |
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 $323.59 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $134.90 | Professional | 53 · Discontinued | $128.82 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 54 · Surgery only | $489.78 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $380.19 Typical High $933.25 | Professional | 51 · Multiple procedures | $245.47 | $380.19 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $151.36 Typical High $371.54 | Professional | 80 · Assistant surgeon | $97.72 | $151.36 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $107.15 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $69.18 | $107.15 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $107.15 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $107.15 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $107.15 Typical High $263.03 | Professional | AS · PA/NP assist | $69.18 | $107.15 | $263.03 |
Where North Carolina sits
The same service costs 4.4 times more in Wisconsin 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· 47th of 51
$646
WI $2,630TX $603
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.