How much rates vary
Facilitymedian $1,778 · 10th to 90th $759 to $10,471Professionalmedian $447 · 10th to 90th $105 to $646
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 $389.05 Median $4,897.79 Typical High $21,877.62 | Facility | None | $389.05 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $562.34 | Professional | None | $380.19 | $467.74 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,137.96 Typical High $9,549.93 | Facility | None | $851.14 | $2,137.96 | $9,549.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $630.96 | Professional | None | $302.00 | $457.09 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,380.38 Typical High $1,995.26 | Facility | None | $602.56 | $1,380.38 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $776.25 | Professional | None | $436.52 | $602.56 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $1,023.29 Typical High $1,584.89 | Facility | None | $389.05 | $1,023.29 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $691.83 | Professional | None | $549.54 | $602.56 | $691.83 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $630.96 | Professional | None | $79.43 | $371.54 | $630.96 |
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 $302.00 Median $467.74 Typical High $812.83 | Professional | None | $302.00 | $467.74 | $812.83 |
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 $295.12 Median $316.23 Typical High $407.38 | Professional | 54 · Surgery only | $295.12 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $295.12 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $275.42 | $295.12 | $380.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $912.01 Typical High $1,258.93 | Professional | 50 · Both sides | $891.25 | $912.01 | $1,258.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $120.23 Typical High $169.82 | Professional | 80 · Assistant surgeon | $120.23 | $120.23 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $85.11 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $83.18 | $85.11 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $85.11 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $85.11 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $85.11 Typical High $117.49 | Professional | AS · PA/NP assist | $83.18 | $85.11 | $117.49 |
Where South Carolina sits
The same service costs 6.0 times more in Colorado than in West Virginia. 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 $6,136WV $1,026
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.