How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,514 to $23,988Professionalmedian $112 · 10th to 90th $79 to $158
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 $102.33 Median $13,182.57 Typical High $22,908.68 | Facility | None | $102.33 | $13,182.57 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | None | $93.33 | $102.33 | $102.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $3,162.28 Typical High $25,118.86 | Facility | None | $1,778.28 | $3,162.28 | $25,118.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $177.83 | Professional | None | $79.43 | $112.20 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $954.99 Typical High $2,290.87 | Facility | None | $549.54 | $954.99 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $213.80 | Professional | None | $97.72 | $109.65 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $1,698.24 Typical High $3,890.45 | Facility | None | $102.33 | $1,698.24 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $134.90 | Professional | None | $102.33 | $114.82 | $134.90 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $131.83 | Professional | None | $67.61 | $102.33 | $131.83 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,165.95 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,165.95 | $23,988.33 |
United Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $190.55 | Professional | None | $87.10 | $107.15 | $190.55 |
8 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 $69.18 Median $75.86 Typical High $75.86 | Professional | 54 · Surgery only | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $13.80 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | 56 · Pre-op care only | $9.33 | $10.23 | $10.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $51.29 Median $57.54 Typical High $85.11 | Professional | 51 · Multiple procedures | $51.29 | $57.54 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $22.91 Typical High $33.11 | Professional | 80 · Assistant surgeon | $20.42 | $22.91 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $16.22 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $14.45 | $16.22 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $16.22 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $16.22 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $16.22 Typical High $23.44 | Professional | AS · PA/NP assist | $14.45 | $16.22 | $23.44 |
Where South Carolina sits
The same service costs 35.1 times more in Alaska than in Montana. 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
AK $10,153MT $289
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.