How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,514 to $19,498Professionalmedian $1,549 · 10th to 90th $245 to $2,291
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 $1,949.84 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,949.84 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,949.84 | $1,949.84 |
BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $14,125.38 | Facility | None | $1,778.28 | $2,951.21 | $14,125.38 |
BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,479.11 | $2,041.74 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,128.61 Typical High $7,244.36 | Facility | None | $602.56 | $5,128.61 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,949.84 | $1,995.26 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $10,471.29 | Facility | None | $1,513.56 | $1,949.84 | $10,471.29 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,862.09 | $2,089.30 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,202.26 Typical High $2,041.74 | Professional | None | $204.17 | $1,202.26 | $2,041.74 |
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 $1,412.54 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,412.54 | $1,778.28 | $2,884.03 |
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 $831.76 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $831.76 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $331.13 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,258.93 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $251.19 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,630.78 Typical High $4,466.84 | Professional | 50 · Both sides | $2,754.23 | $3,630.78 | $4,466.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $933.25 Median $1,202.26 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $933.25 | $1,202.26 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $489.78 Typical High $602.56 | Professional | 80 · Assistant surgeon | $371.54 | $489.78 | $602.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $338.84 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $257.04 | $338.84 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $338.84 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $257.04 | $338.84 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $338.84 Typical High $426.58 | Professional | AS · PA/NP assist | $257.04 | $338.84 | $426.58 |
Where South Carolina sits
The same service costs 9.3 times more in Alaska than in Texas. 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.
South Carolina· 46th of 51
$1,660
AK $6,918TX $741
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.