How much rates vary
Facilitymedian $3,890 · 10th to 90th $813 to $19,055Professionalmedian $977 · 10th to 90th $102 to $1,445
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 $1,230.27 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,230.27 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $4,677.35 Typical High $19,054.61 | Facility | None | $851.14 | $4,677.35 | $19,054.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,659.59 | Professional | None | $954.99 | $1,348.96 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $5,623.41 | Facility | None | $602.56 | $2,398.83 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,122.02 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $2,884.03 | Facility | None | $630.96 | $1,000.00 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,230.27 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $776.25 Typical High $1,348.96 | Professional | None | $79.43 | $776.25 | $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 $831.76 Median $1,071.52 Typical High $1,698.24 | Professional | None | $831.76 | $1,071.52 | $1,698.24 |
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 $524.81 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $524.81 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $776.25 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $158.49 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $724.44 | $851.14 | $851.14 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,137.96 Typical High $2,818.38 | Professional | 50 · Both sides | $1,659.59 | $2,137.96 | $2,818.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $562.34 Median $707.95 Typical High $954.99 | Professional | 51 · Multiple procedures | $562.34 | $707.95 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $281.84 Typical High $380.19 | Professional | 80 · Assistant surgeon | $223.87 | $281.84 | $380.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $199.53 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $154.88 | $199.53 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $199.53 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $154.88 | $199.53 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $199.53 Typical High $263.03 | Professional | AS · PA/NP assist | $154.88 | $199.53 | $263.03 |
Where South Carolina sits
The same service costs 5.1 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 $14,362HI $2,794
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.