How much rates vary
Facilitymedian $7,244 · 10th to 90th $813 to $25,119Professionalmedian $794 · 10th to 90th $105 to $1,175
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 $954.99 Median $10,000.00 Typical High $21,877.62 | Facility | None | $954.99 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | None | $812.83 | $954.99 | $954.99 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $9,120.11 Typical High $26,302.68 | Facility | None | $851.14 | $9,120.11 | $26,302.68 |
BCBS South Carolina Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,258.93 | Professional | None | $741.31 | $1,023.29 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $13,489.63 | Facility | None | $602.56 | $2,398.83 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,513.56 | Professional | None | $954.99 | $954.99 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $954.99 Typical High $5,248.07 | Facility | None | $630.96 | $954.99 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,202.26 | Professional | None | $954.99 | $1,000.00 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $630.96 Typical High $1,071.52 | Professional | None | $79.43 | $630.96 | $1,071.52 |
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 $676.08 Median $870.96 Typical High $1,412.54 | Professional | None | $676.08 | $870.96 | $1,412.54 |
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 $407.38 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $407.38 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $616.60 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $123.03 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $81.28 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $575.44 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,778.28 Typical High $2,238.72 | Professional | 50 · Both sides | $1,479.11 | $1,778.28 | $2,238.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $602.56 Typical High $741.31 | Professional | 51 · Multiple procedures | $501.19 | $602.56 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | 80 · Assistant surgeon | $199.53 | $239.88 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $138.04 | $165.96 | $208.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $138.04 | $165.96 | $208.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | AS · PA/NP assist | $138.04 | $165.96 | $208.93 |
Where South Carolina sits
The same service costs 8.4 times more in Alaska 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
AK $21,171HI $2,517
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.