How much rates vary
Facilitymedian $10,965 · 10th to 90th $2,818 to $19,498Professionalmedian $5,012 · 10th to 90th $1,738 to $8,913
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 $2,818.38 Median $2,818.38 Typical High $12,882.50 | Facility | None | $2,818.38 | $2,818.38 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $6,918.31 | Professional | None | $2,818.38 | $2,818.38 | $6,918.31 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1,737.80 Median $5,495.41 Typical High $9,332.54 | Professional | None | $1,737.80 | $5,495.41 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Medcost Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Facility | None | $2,818.38 | $2,818.38 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $6,025.60 | Professional | None | $2,511.89 | $2,511.89 | $6,025.60 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $12,882.50 Typical High $23,988.33 | Facility | None | $7,943.28 | $12,882.50 | $23,988.33 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $4,897.79 Typical High $7,079.46 | Professional | None | $1,479.11 | $4,897.79 | $7,079.46 |
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 $1,412.54 Median $1,412.54 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | 53 · Discontinued | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | 54 · Surgery only | $2,089.30 | $2,089.30 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $281.84 Typical High $302.00 | Professional | 56 · Pre-op care only | $281.84 | $281.84 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,258.93 Median $1,258.93 Typical High $3,801.89 | Professional | 51 · Multiple procedures | $1,258.93 | $1,258.93 | $3,801.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $501.19 Median $501.19 Typical High $1,513.56 | Professional | 80 · Assistant surgeon | $501.19 | $501.19 | $1,513.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $354.81 Typical High $1,071.52 | Professional | 81 · Minimal assistant surgeon | $354.81 | $354.81 | $1,071.52 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $354.81 Typical High $1,071.52 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $354.81 | $1,071.52 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $354.81 Typical High $1,071.52 | Professional | AS · PA/NP assist | $354.81 | $354.81 | $1,071.52 |
Where North Carolina sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 5th of 51
$5,129
AK $8,511MO $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.