How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,096 to $32,359Professionalmedian $1,023 · 10th to 90th $155 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 $1,288.25 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,288.25 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,288.25 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $7,762.47 Typical High $36,307.81 | Facility | None | $1,202.26 | $7,762.47 | $36,307.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,862.09 | Professional | None | $977.24 | $1,412.54 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,388.44 Typical High $5,623.41 | Facility | None | $630.96 | $3,388.44 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,288.25 | $1,288.25 | $1,995.26 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,288.25 Typical High $4,168.69 | Facility | None | $912.01 | $1,288.25 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,380.38 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $812.83 Typical High $1,348.96 | Professional | None | $120.23 | $812.83 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,905.46 | Professional | None | $912.01 | $1,174.90 | $1,905.46 |
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 $549.54 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $549.54 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $812.83 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $165.96 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $109.65 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $758.58 | $891.25 | $891.25 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,398.83 Typical High $2,951.21 | Professional | 50 · Both sides | $2,041.74 | $2,398.83 | $2,951.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $794.33 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $676.08 | $794.33 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $316.23 Typical High $398.11 | Professional | 80 · Assistant surgeon | $269.15 | $316.23 | $398.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $223.87 Typical High $275.42 | Professional | 81 · Minimal assistant surgeon | $190.55 | $223.87 | $275.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $223.87 Typical High $275.42 | Professional | 82 · Assistant surgeon, no resident | $190.55 | $223.87 | $275.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $223.87 Typical High $275.42 | Professional | AS · PA/NP assist | $190.55 | $223.87 | $275.42 |
Where South Carolina sits
The same service costs 4.2 times more in Colorado than in Hawaii. 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
CO $14,431HI $3,454
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.