How much rates vary
Facilitymedian $1,259 · 10th to 90th $457 to $9,333Professionalmedian $1,288 · 10th to 90th $158 to $1,950
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 $1,479.11 Median $12,022.64 Typical High $21,877.62 | Facility | None | $1,479.11 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,479.11 | $1,479.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,288.25 | $2,089.30 |
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 $1,348.96 Median $1,380.38 Typical High $2,630.27 | Professional | None | $1,348.96 | $1,380.38 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $3,311.31 | Facility | None | $1,258.93 | $1,479.11 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,621.81 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $1,174.90 Typical High $1,949.84 | Professional | None | $123.03 | $1,174.90 | $1,949.84 |
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 $1,174.90 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,513.56 | $2,511.89 |
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 $831.76 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $831.76 | $1,047.13 | $1,047.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $741.31 Median $812.83 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $741.31 | $812.83 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $323.59 Typical High $426.58 | Professional | 80 · Assistant surgeon | $295.12 | $323.59 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $204.17 Median $229.09 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $204.17 | $229.09 | $302.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $229.09 Typical High $302.00 | Professional | 82 · Assistant surgeon, no resident | $204.17 | $229.09 | $302.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $229.09 Typical High $302.00 | Professional | AS · PA/NP assist | $204.17 | $229.09 | $302.00 |
Where South Carolina sits
The same service costs 13.1 times more in Maine than in Maryland. 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
ME $24,607MD $1,881
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.