How much rates vary
Facilitymedian $1,738 · 10th to 90th $501 to $10,965Professionalmedian $513 · 10th to 90th $380 to $871
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 $426.58 Median $4,897.79 Typical High $21,877.62 | Facility | None | $426.58 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $512.86 | Professional | None | $416.87 | $426.58 | $512.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $2,344.23 Typical High $10,471.29 | Facility | None | $512.86 | $2,344.23 | $10,471.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $645.65 | Professional | None | $302.00 | $446.68 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,479.11 Typical High $4,168.69 | Facility | None | $457.09 | $1,479.11 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $891.25 | Professional | None | $426.58 | $537.03 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,174.90 | Facility | None | $407.38 | $537.03 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,288.25 | Professional | None | $489.78 | $691.83 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $912.01 | Professional | None | $457.09 | $645.65 | $912.01 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $870.96 | Professional | None | $346.74 | $489.78 | $870.96 |
11 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 52 · Reduced service Typical Low $204.17 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $309.03 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $64.57 Typical High $77.62 | Professional | 55 · Aftercare only | $61.66 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $42.66 Typical High $51.29 | Professional | 56 · Pre-op care only | $41.69 | $42.66 | $51.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,288.25 Typical High $1,905.46 | Professional | 50 · Both sides | $891.25 | $1,288.25 | $1,905.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $436.52 Typical High $645.65 | Professional | 51 · Multiple procedures | $295.12 | $436.52 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $158.49 Typical High $257.04 | Professional | 80 · Assistant surgeon | $117.49 | $158.49 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $109.65 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $83.18 | $109.65 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $109.65 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $109.65 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $109.65 Typical High $177.83 | Professional | AS · PA/NP assist | $83.18 | $109.65 | $177.83 |
Where South Carolina sits
The same service costs 6.3 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 $7,350MT $1,166
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.