How much rates vary
Facilitymedian $1,995 · 10th to 90th $977 to $10,715Professionalmedian $1,202 · 10th to 90th $162 to $2,042
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 $1,445.44 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,445.44 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,230.27 | $1,445.44 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,398.83 | $9,549.93 |
BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,659.59 | $2,041.74 |
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 $1,513.56 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,513.56 | $1,659.59 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,584.89 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,584.89 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $891.25 Typical High $1,548.82 | Professional | None | $120.23 | $891.25 | $1,548.82 |
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 $1,047.13 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,318.26 | $2,187.76 |
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 $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $933.25 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $870.96 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $2,454.71 Typical High $3,388.44 | Professional | 50 · Both sides | $2,398.83 | $2,454.71 | $3,388.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $794.33 Median $812.83 Typical High $1,122.02 | Professional | 51 · Multiple procedures | $794.33 | $812.83 | $1,122.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $323.59 Typical High $446.68 | Professional | 80 · Assistant surgeon | $316.23 | $323.59 | $446.68 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $223.87 Median $229.09 Typical High $316.23 | Professional | 81 · Minimal assistant surgeon | $223.87 | $229.09 | $316.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $223.87 Median $229.09 Typical High $316.23 | Professional | 82 · Assistant surgeon, no resident | $223.87 | $229.09 | $316.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $229.09 Typical High $316.23 | Professional | AS · PA/NP assist | $223.87 | $229.09 | $316.23 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska 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
AK $8,759MD $2,608
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.