How much rates vary
Facilitymedian $1,514 · 10th to 90th $603 to $9,333Professionalmedian $123 · 10th to 90th $95 to $174
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 $123.03 Median $5,623.41 Typical High $21,877.62 | Facility | None | $123.03 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $125.89 | Professional | None | $102.33 | $123.03 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $9,772.37 | Facility | None | $691.83 | $1,778.28 | $9,772.37 |
BCBS South Carolina Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $123.03 | Professional | None | $95.50 | $114.82 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,584.89 Typical High $2,187.76 | Facility | None | $602.56 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $199.53 | Professional | None | $109.65 | $117.49 | $199.53 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $239.88 | Professional | None | $144.54 | $154.88 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $645.65 Typical High $1,479.11 | Facility | None | $120.23 | $645.65 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | None | $120.23 | $134.90 | $158.49 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $190.55 | Professional | None | $95.50 | $123.03 | $190.55 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $190.55 | Professional | None | $89.13 | $109.65 | $190.55 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 58 · Staged procedure | $104.71 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | GC · Resident with teaching physician | $177.83 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $66.07 Median $70.79 Typical High $79.43 | Professional | 51 · Multiple procedures | $66.07 | $70.79 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $28.18 Typical High $31.62 | Professional | 80 · Assistant surgeon | $26.30 | $28.18 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $19.95 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $18.62 | $19.95 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $19.95 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $19.95 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $19.95 Typical High $22.39 | Professional | AS · PA/NP assist | $18.62 | $19.95 | $22.39 |
Where South Carolina sits
The same service costs 13.3 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 $4,506MT $340
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.