How much rates vary
Facilitymedian $676 · 10th to 90th $95 to $3,548Professionalmedian $170 · 10th to 90th $132 to $282
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 $165.96 Median $5,623.41 Typical High $21,877.62 | Facility | None | $165.96 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | None | $147.91 | $165.96 | $165.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $194.98 | Professional | None | $123.03 | $154.88 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,905.46 | Facility | None | $588.84 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $269.15 | Professional | None | $181.97 | $199.53 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $407.38 | Facility | None | $154.88 | $165.96 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $204.17 | Professional | None | $165.96 | $199.53 | $204.17 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $346.74 | Professional | None | $190.55 | $239.88 | $346.74 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $263.03 | Professional | None | $120.23 | $154.88 | $263.03 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | 51 · Multiple procedures | $100.00 | $100.00 | $128.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | 80 · Assistant surgeon | $39.81 | $39.81 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $28.18 | $28.18 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $28.18 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | AS · PA/NP assist | $28.18 | $28.18 | $36.31 |
Where South Carolina sits
The same service costs 12.0 times more in Utah than in Florida. 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
UT $3,137FL $261
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.