How much rates vary
Facilitymedian $1,995 · 10th to 90th $955 to $10,715Professionalmedian $708 · 10th to 90th $107 to $1,072
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 $851.14 Median $10,000.00 Typical High $21,877.62 | Facility | None | $851.14 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | None | $724.44 | $851.14 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $2,951.21 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,951.21 | $9,549.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,071.52 | Professional | None | $660.69 | $891.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,548.82 Typical High $3,090.30 | Facility | None | $602.56 | $1,548.82 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,318.26 | Professional | None | $891.25 | $954.99 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $1,621.81 | Facility | None | $831.76 | $1,584.89 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $977.24 | Professional | None | $851.14 | $933.25 | $977.24 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $537.03 Typical High $912.01 | Professional | None | $79.43 | $537.03 | $912.01 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,288.25 | Professional | None | $602.56 | $776.25 | $1,288.25 |
8 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 54 · Surgery only Typical Low $537.03 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $537.03 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $501.19 | $588.84 | $588.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,412.54 Typical High $1,949.84 | Professional | 50 · Both sides | $1,380.38 | $1,412.54 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $467.74 Typical High $645.65 | Professional | 51 · Multiple procedures | $457.09 | $467.74 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $190.55 Typical High $263.03 | Professional | 80 · Assistant surgeon | $186.21 | $190.55 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $131.83 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $128.82 | $131.83 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $131.83 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $128.82 | $131.83 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $131.83 Typical High $181.97 | Professional | AS · PA/NP assist | $128.82 | $131.83 | $181.97 |
Where South Carolina sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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
WI $7,315MD $2,090
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.