How much rates vary
Facilitymedian $3,715 · 10th to 90th $724 to $20,893Professionalmedian $1,259 · 10th to 90th $123 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 $1,659.59 Typical High $21,877.62 | Facility | None | $1,318.26 | $1,659.59 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,318.26 | $1,584.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6,456.54 Median $11,220.18 Typical High $11,481.54 | Facility | None | $6,456.54 | $11,220.18 | $11,481.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,513.56 | Professional | None | $954.99 | $1,445.44 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,995.26 | Facility | None | $100.00 | $794.33 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,548.82 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,819.70 | $1,949.84 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,778.28 | Facility | None | $724.44 | $724.44 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,621.81 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $933.25 Typical High $1,621.81 | Professional | None | $95.50 | $933.25 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $7,762.47 Typical High $22,908.68 | Facility | None | $1,819.70 | $7,762.47 | $22,908.68 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $2,398.83 | Professional | None | $954.99 | $1,202.26 | $2,398.83 |
7 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 $812.83 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $812.83 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $758.58 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $794.33 Median $812.83 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $794.33 | $812.83 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $331.13 Typical High $398.11 | Professional | 80 · Assistant surgeon | $316.23 | $331.13 | $398.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $218.78 Median $229.09 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $218.78 | $229.09 | $281.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $218.78 Median $229.09 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $218.78 | $229.09 | $281.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $218.78 Median $229.09 Typical High $281.84 | Professional | AS · PA/NP assist | $218.78 | $229.09 | $281.84 |
Where South Carolina sits
The same service costs 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.