How much rates vary
Facilitymedian $16,596 · 10th to 90th $1,047 to $44,668Professionalmedian $1,820 · 10th to 90th $1,175 to $3,388
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 $1,047.13 Median $1,584.89 Typical High $10,964.78 | Facility | None | $1,047.13 | $1,584.89 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,047.13 | $1,949.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,187.76 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $26,302.68 Typical High $35,481.34 | Facility | None | $10,715.19 | $26,302.68 | $35,481.34 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,584.89 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,698.24 | Facility | None | $1,047.13 | $1,047.13 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $1,412.54 Typical High $1,862.09 | Professional | None | $831.76 | $1,412.54 | $1,862.09 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $19,498.45 Typical High $45,708.82 | Facility | None | $2,238.72 | $19,498.45 | $45,708.82 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $3,019.95 | Professional | None | $1,096.48 | $1,584.89 | $3,019.95 |
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 $524.81 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $524.81 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 53 · Discontinued | $208.93 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | 54 · Surgery only | $794.33 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $109.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $707.95 Typical High $1,548.82 | Professional | 51 · Multiple procedures | $416.87 | $707.95 | $1,548.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $281.84 Typical High $630.96 | Professional | 80 · Assistant surgeon | $165.96 | $281.84 | $630.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $199.53 Typical High $436.52 | Professional | 81 · Minimal assistant surgeon | $114.82 | $199.53 | $436.52 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $199.53 Typical High $436.52 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $199.53 | $436.52 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $199.53 Typical High $436.52 | Professional | AS · PA/NP assist | $114.82 | $199.53 | $436.52 |
Where North Carolina sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.