How much rates vary
Facilitymedian $1,995 · 10th to 90th $977 to $10,715Professionalmedian $912 · 10th to 90th $166 to $1,380
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 $1,174.90 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,174.90 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,000.00 | $1,174.90 | $1,174.90 |
BCBS South Carolina 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 South Carolina Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,148.15 | Professional | None | $912.01 | $1,096.48 | $1,148.15 |
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 $1,174.90 Median $1,258.93 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,258.93 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,023.29 | $1,584.89 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,380.38 | Professional | None | $1,174.90 | $1,202.26 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $741.31 Typical High $1,258.93 | Professional | None | $120.23 | $741.31 | $1,258.93 |
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 $870.96 Median $1,096.48 Typical High $1,778.28 | Professional | None | $870.96 | $1,096.48 | $1,778.28 |
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 $758.58 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $758.58 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $707.95 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $1,819.70 Typical High $2,754.23 | Professional | 50 · Both sides | $1,819.70 | $1,819.70 | $2,754.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $602.56 Median $602.56 Typical High $912.01 | Professional | 51 · Multiple procedures | $602.56 | $602.56 | $912.01 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $239.88 Median $245.47 Typical High $363.08 | Professional | 80 · Assistant surgeon | $239.88 | $245.47 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $169.82 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $169.82 | $169.82 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $169.82 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $169.82 | $169.82 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $169.82 Typical High $257.04 | Professional | AS · PA/NP assist | $169.82 | $169.82 | $257.04 |
Where South Carolina sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.