How much rates vary
Facilitymedian $1,445 · 10th to 90th $646 to $7,244Professionalmedian $1,047 · 10th to 90th $100 to $1,698
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 $1,202.26 Median $5,888.44 Typical High $21,877.62 | Facility | None | $1,202.26 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,202.26 | $1,202.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $7,079.46 | Facility | None | $676.08 | $1,288.25 | $7,079.46 |
BCBS South Carolina Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,862.09 | Professional | None | $933.25 | $1,380.38 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,548.82 Typical High $2,398.83 | Facility | None | $602.56 | $1,548.82 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,348.96 | $2,344.23 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,621.81 | Facility | None | $691.83 | $1,071.52 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,288.25 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $912.01 Typical High $1,698.24 | Professional | None | $85.11 | $912.01 | $1,698.24 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,137.96 | Professional | None | $977.24 | $1,288.25 | $2,137.96 |
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 $776.25 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $776.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $724.44 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | 51 · Multiple procedures | $645.65 | $645.65 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | 80 · Assistant surgeon | $257.04 | $257.04 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $181.97 | $181.97 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $181.97 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | AS · PA/NP assist | $181.97 | $181.97 | $257.04 |
Where South Carolina sits
The same service costs 3.4 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 $7,428KY $2,193
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.