How much rates vary
Facilitymedian $977 · 10th to 90th $417 to $7,943Professionalmedian $1,023 · 10th to 90th $794 to $1,622
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 $1,023.29 Median $1,023.29 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,023.29 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,995.26 | Professional | None | $831.76 | $1,023.29 | $1,995.26 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $812.83 | Professional | None | $691.83 | $724.44 | $812.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,445.44 | Professional | None | $794.33 | $1,023.29 | $1,445.44 |
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 $912.01 Median $1,047.13 Typical High $1,621.81 | Professional | None | $912.01 | $1,047.13 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,023.29 Typical High $2,454.71 | Facility | None | $851.14 | $1,023.29 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,096.48 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,698.24 | Professional | None | $794.33 | $1,174.90 | $1,698.24 |
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 $831.76 Median $1,000.00 Typical High $1,513.56 | Professional | None | $831.76 | $1,000.00 | $1,513.56 |
8 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 $446.68 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $446.68 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $177.83 | $208.93 | $208.93 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $125.89 Typical High $213.80 | Professional | 80 · Assistant surgeon | $114.82 | $125.89 | $213.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $549.54 Median $549.54 Typical High $812.83 | Professional | 51 · Multiple procedures | $549.54 | $549.54 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $223.87 Typical High $323.59 | Professional | 80 · Assistant surgeon | $218.78 | $223.87 | $323.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $154.88 | $154.88 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $154.88 | $154.88 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | AS · PA/NP assist | $154.88 | $154.88 | $229.09 |
Where South Carolina sits
The same service costs 10.3 times more in Maine than in Arkansas. 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 $15,629AR $1,524
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.