How much rates vary
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 $831.76 Median $9,120.11 Typical High $22,908.68 | Facility | None | $831.76 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $831.76 | Professional | None | $660.69 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $588.84 | $588.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | None | $562.34 | $562.34 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,737.80 | Professional | None | $691.83 | $758.58 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $1,122.02 | Facility | None | $831.76 | $912.01 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $912.01 | Professional | None | $812.83 | $891.25 | $912.01 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,862.09 | Professional | None | $524.81 | $707.95 | $1,862.09 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $407.38 Median $446.68 Typical High $501.19 | Professional | 51 · Multiple procedures | $407.38 | $446.68 | $501.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $177.83 Typical High $199.53 | Professional | 80 · Assistant surgeon | $165.96 | $177.83 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $123.03 Typical High $141.25 | Professional | 81 · Minimal assistant surgeon | $114.82 | $123.03 | $141.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $123.03 Typical High $141.25 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $123.03 | $141.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $123.03 Typical High $141.25 | Professional | AS · PA/NP assist | $114.82 | $123.03 | $141.25 |
Where South Carolina sits
The same service costs 8.5 times more in Alaska 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.
South Carolina· 31st of 51
$813
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.