How much rates vary
Facilitymedian $1,995 · 10th to 90th $977 to $10,715Professionalmedian $891 · 10th to 90th $98 to $1,585
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 $1,148.15 Median $5,888.44 Typical High $21,877.62 | Facility | None | $1,148.15 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | None | $977.24 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,023.29 Median $2,398.83 Typical High $9,549.93 | Facility | None | $1,023.29 | $2,398.83 | $9,549.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $870.96 Median $1,548.82 Typical High $1,905.46 | Professional | None | $870.96 | $1,548.82 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,548.82 Typical High $3,090.30 | Facility | None | $602.56 | $1,548.82 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,348.96 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,023.29 | $1,584.89 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,288.25 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $691.83 Typical High $1,202.26 | Professional | None | $79.43 | $691.83 | $1,202.26 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,778.28 | Professional | None | $831.76 | $1,071.52 | $1,778.28 |
7 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 $741.31 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $741.31 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $691.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | 51 · Multiple procedures | $645.65 | $645.65 | $891.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | 80 · Assistant surgeon | $257.04 | $257.04 | $354.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $181.97 | $181.97 | $251.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $181.97 | $251.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | AS · PA/NP assist | $181.97 | $181.97 | $251.19 |
Where South Carolina sits
The same service costs 3.4 times more in Wisconsin 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
WI $7,760KY $2,277
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.