How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,479 to $20,417Professionalmedian $692 · 10th to 90th $78 to $1,023
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 $758.58 Median $15,135.61 Typical High $24,547.09 | Facility | None | $758.58 | $15,135.61 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $812.83 | Professional | None | $645.65 | $758.58 | $812.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $6,165.95 Typical High $19,498.45 | Facility | None | $1,905.46 | $6,165.95 | $19,498.45 |
BCBS South Carolina Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $758.58 | Professional | None | $602.56 | $724.44 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,311.31 Typical High $4,677.35 | Facility | None | $602.56 | $3,311.31 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $1,071.52 | Professional | None | $645.65 | $660.69 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,513.56 | Professional | None | $831.76 | $891.25 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $1,778.28 | Facility | None | $645.65 | $724.44 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $912.01 | Professional | None | $741.31 | $794.33 | $912.01 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $602.56 Typical High $1,023.29 | Professional | None | $63.10 | $602.56 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,606.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,122.02 | Professional | None | $549.54 | $660.69 | $1,122.02 |
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 $446.68 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $446.68 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $398.11 Typical High $467.74 | Professional | 51 · Multiple procedures | $389.05 | $398.11 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $158.49 Typical High $186.21 | Professional | 80 · Assistant surgeon | $154.88 | $158.49 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $109.65 | $112.20 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $109.65 | $112.20 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | AS · PA/NP assist | $109.65 | $112.20 | $128.82 |
Where South Carolina sits
The same service costs 5.3 times more in Colorado than in Montana. 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
CO $11,104MT $2,095
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.