How much rates vary
Facilitymedian $912 · 10th to 90th $457 to $8,318Professionalmedian $2,512 · 10th to 90th $288 to $3,981
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 $3,311.31 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,311.31 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,818.38 | $3,311.31 | $3,311.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,445.44 Median $2,454.71 Typical High $2,511.89 | Professional | None | $1,445.44 | $2,454.71 | $2,511.89 |
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 $2,818.38 Median $2,818.38 Typical High $4,677.35 | Professional | None | $2,818.38 | $2,818.38 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $3,715.35 Median $3,981.07 Typical High $6,606.93 | Professional | None | $3,715.35 | $3,981.07 | $6,606.93 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $4,466.84 | Facility | None | $724.44 | $724.44 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $3,801.89 | Professional | None | $2,818.38 | $3,311.31 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $2,187.76 Typical High $3,981.07 | Professional | None | $263.03 | $2,187.76 | $3,981.07 |
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 $2,398.83 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,398.83 | $2,884.03 | $4,897.79 |
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 $2,089.30 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,089.30 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,344.23 | $2,344.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,698.24 Typical High $1,995.26 | Professional | 51 · Multiple procedures | $1,412.54 | $1,698.24 | $1,995.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $575.44 Median $691.83 Typical High $812.83 | Professional | 80 · Assistant surgeon | $575.44 | $691.83 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $398.11 Median $478.63 Typical High $562.34 | Professional | 81 · Minimal assistant surgeon | $398.11 | $478.63 | $562.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $478.63 Typical High $562.34 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $478.63 | $562.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $398.11 Median $478.63 Typical High $562.34 | Professional | AS · PA/NP assist | $398.11 | $478.63 | $562.34 |
Where South Carolina sits
The same service costs 6.5 times more in Alaska than in Washington. 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
AK $21,355WA $3,262
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.