How much rates vary
Facilitymedian $794 · 10th to 90th $302 to $2,239Professionalmedian $457 · 10th to 90th $89 to $676
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 $489.78 Median $4,897.79 Typical High $21,877.62 | Facility | None | $489.78 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $537.03 | Professional | None | $457.09 | $489.78 | $537.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $2,089.30 | Facility | None | $489.78 | $794.33 | $2,089.30 |
BCBS South Carolina Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $524.81 | Professional | None | $389.05 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $954.99 Typical High $1,445.44 | Facility | None | $457.09 | $954.99 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $776.25 | Professional | None | $416.87 | $478.63 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $501.19 Typical High $1,174.90 | Facility | None | $95.50 | $501.19 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $630.96 | Professional | None | $446.68 | $537.03 | $630.96 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $416.87 Typical High $691.83 | Professional | None | $38.90 | $416.87 | $691.83 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,344.23 | Facility | None | $83.18 | $446.68 | $2,344.23 |
United Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $707.95 | Professional | None | $346.74 | $446.68 | $707.95 |
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 $229.09 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $91.20 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $371.54 Typical High $407.38 | Professional | 54 · Surgery only | $346.74 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $69.18 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $53.70 | Professional | 56 · Pre-op care only | $45.71 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $346.74 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $323.59 | $346.74 | $380.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $954.99 Typical High $1,258.93 | Professional | 50 · Both sides | $676.08 | $954.99 | $1,258.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $316.23 Typical High $416.87 | Professional | 51 · Multiple procedures | $223.87 | $316.23 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $125.89 Typical High $165.96 | Professional | 80 · Assistant surgeon | $89.13 | $125.89 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $89.13 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $63.10 | $89.13 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $63.10 Median $89.13 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $63.10 | $89.13 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $89.13 Typical High $117.49 | Professional | AS · PA/NP assist | $63.10 | $89.13 | $117.49 |
Where South Carolina sits
The same service costs 5.3 times more in Colorado than in Florida. 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 $4,377FL $831
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.