How much rates vary
Facilitymedian $7,079 · 10th to 90th $2,188 to $27,542Professionalmedian $1,023 · 10th to 90th $155 to $1,862
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 $14,791.08 Typical High $21,877.62 | Facility | None | $1,288.25 | $14,791.08 | $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 Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $27,542.29 | Facility | None | $3,467.37 | $6,918.31 | $27,542.29 |
BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,000.00 | $1,621.81 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $9,772.37 Typical High $15,488.17 | Facility | None | $602.56 | $9,772.37 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,041.74 | Professional | None | $1,288.25 | $1,288.25 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $27,542.29 Typical High $27,542.29 | Facility | None | $1,258.93 | $27,542.29 | $27,542.29 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,479.11 | $2,089.30 |
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 $1,819.70 Median $6,606.93 Typical High $24,547.09 | Facility | None | $1,819.70 | $6,606.93 | $24,547.09 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,905.46 | Professional | None | $933.25 | $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 $831.76 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $831.76 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $165.96 | $194.98 | $194.98 |
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 $776.25 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $776.25 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,398.83 Typical High $3,090.30 | Professional | 50 · Both sides | $2,041.74 | $2,398.83 | $3,090.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $812.83 Typical High $1,047.13 | Professional | 51 · Multiple procedures | $676.08 | $812.83 | $1,047.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $275.42 Median $323.59 Typical High $416.87 | Professional | 80 · Assistant surgeon | $275.42 | $323.59 | $416.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $223.87 Typical High $288.40 | Professional | 81 · Minimal assistant surgeon | $190.55 | $223.87 | $288.40 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $223.87 Typical High $288.40 | Professional | 82 · Assistant surgeon, no resident | $190.55 | $223.87 | $288.40 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $223.87 Typical High $288.40 | Professional | AS · PA/NP assist | $190.55 | $223.87 | $288.40 |
Where South Carolina sits
The same service costs 10.4 times more in Alaska than in Kentucky. 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 $29,118KY $2,808
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.