How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,072 to $32,359Professionalmedian $871 · 10th to 90th $102 to $1,349
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 $1,071.52 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,071.52 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,071.52 | Professional | None | $933.25 | $1,071.52 | $1,071.52 |
BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $7,413.10 Typical High $34,673.69 | Facility | None | $1,202.26 | $7,413.10 | $34,673.69 |
BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,698.24 | Professional | None | $831.76 | $1,288.25 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,388.44 Typical High $7,244.36 | Facility | None | $630.96 | $3,388.44 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,698.24 | Professional | None | $1,096.48 | $1,096.48 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,071.52 Typical High $4,168.69 | Facility | None | $851.14 | $1,071.52 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,318.26 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $691.83 Typical High $1,174.90 | Professional | None | $79.43 | $691.83 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,606.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,584.89 | Professional | None | $776.25 | $977.24 | $1,584.89 |
12 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 $467.74 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $691.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $138.04 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $645.65 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $2,089.30 Typical High $2,511.89 | Professional | 50 · Both sides | $1,698.24 | $2,089.30 | $2,511.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $575.44 Median $691.83 Typical High $831.76 | Professional | 51 · Multiple procedures | $575.44 | $691.83 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $275.42 Typical High $338.84 | Professional | 80 · Assistant surgeon | $229.09 | $275.42 | $338.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $194.98 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $158.49 | $194.98 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $194.98 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $194.98 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $194.98 Typical High $234.42 | Professional | AS · PA/NP assist | $158.49 | $194.98 | $234.42 |
Where South Carolina sits
The same service costs 7.9 times more in Alaska than in Texas. 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.
South Carolina· 44th of 51
$977
AK $3,890TX $490
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.