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 $933.25 Median $9,120.11 Typical High $22,908.68 | Facility | None | $933.25 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | None | $741.31 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $562.34 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $524.81 | $660.69 | $660.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
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 $776.25 Median $851.14 Typical High $2,041.74 | Professional | None | $776.25 | $851.14 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,258.93 | Facility | None | $933.25 | $1,047.13 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,023.29 | Professional | None | $812.83 | $1,000.00 | $1,023.29 |
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 $537.03 Median $741.31 Typical High $2,344.23 | Professional | None | $537.03 | $741.31 | $2,344.23 |
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 $501.19 Typical High $575.44 | Professional | 51 · Multiple procedures | $407.38 | $501.19 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $199.53 Typical High $229.09 | Professional | 80 · Assistant surgeon | $165.96 | $199.53 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $141.25 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $114.82 | $141.25 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $141.25 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $141.25 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $141.25 Typical High $158.49 | Professional | AS · PA/NP assist | $114.82 | $141.25 | $158.49 |
Where South Carolina sits
The same service costs 7.9 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· 33rd of 51
$912
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.