How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,479 to $21,380Professionalmedian $1,122 · 10th to 90th $162 to $1,738
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 $1,318.26 Median $15,135.61 Typical High $32,359.37 | Facility | None | $1,318.26 | $15,135.61 | $32,359.37 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,122.02 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $19,498.45 | Facility | None | $3,467.37 | $6,918.31 | $19,498.45 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,174.90 | Professional | None | $1,023.29 | $1,096.48 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $7,244.36 Typical High $11,748.98 | Facility | None | $602.56 | $7,244.36 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,148.15 | $1,862.09 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,380.38 | $1,479.11 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $3,090.30 | Facility | None | $724.44 | $724.44 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,288.25 | $1,348.96 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $1,071.52 Typical High $1,778.28 | Professional | None | $114.82 | $1,071.52 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $7,762.47 Typical High $23,988.33 | Facility | None | $1,819.70 | $7,762.47 | $23,988.33 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,905.46 | Professional | None | $933.25 | $1,122.02 | $1,905.46 |
6 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 78 · Unplanned return to OR Typical Low $776.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $776.25 | $933.25 | $933.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $660.69 Median $691.83 Typical High $1,023.29 | Professional | 51 · Multiple procedures | $660.69 | $691.83 | $1,023.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $275.42 Typical High $407.38 | Professional | 80 · Assistant surgeon | $269.15 | $275.42 | $407.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $194.98 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $186.21 | $194.98 | $281.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $194.98 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $194.98 | $281.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $194.98 Typical High $281.84 | Professional | AS · PA/NP assist | $186.21 | $194.98 | $281.84 |
Where South Carolina sits
The same service costs 6.5 times more in Alaska 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
AK $17,292WV $2,643
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.