How much rates vary
Facilitymedian $3,715 · 10th to 90th $794 to $22,909Professionalmedian $955 · 10th to 90th $661 to $1,288
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 $912.01 Median $5,623.41 Typical High $21,877.62 | Facility | None | $912.01 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | None | $776.25 | $912.01 | $912.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $660.69 Median $1,122.02 Typical High $1,288.25 | Professional | None | $660.69 | $1,122.02 | $1,288.25 |
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 $977.24 Median $977.24 Typical High $1,412.54 | Professional | None | $977.24 | $977.24 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $2,187.76 | Facility | None | $794.33 | $912.01 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,258.93 | Professional | None | $912.01 | $1,071.52 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,174.90 | Professional | None | $645.65 | $812.83 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $7,585.78 Typical High $23,988.33 | Facility | None | $1,819.70 | $7,585.78 | $23,988.33 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,412.54 | Professional | None | $660.69 | $851.14 | $1,412.54 |
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 $389.05 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $389.05 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $154.88 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $588.84 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $117.49 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $77.62 | $91.20 | $91.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $562.34 Typical High $707.95 | Professional | 51 · Multiple procedures | $524.81 | $562.34 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $229.09 Typical High $281.84 | Professional | 80 · Assistant surgeon | $208.93 | $229.09 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $158.49 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $144.54 | $158.49 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $158.49 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $158.49 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $158.49 Typical High $199.53 | Professional | AS · PA/NP assist | $144.54 | $158.49 | $199.53 |
Where South Carolina sits
The same service costs 4.6 times more in Alaska 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
AK $9,843KY $2,122
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.