How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,122 to $10,000Professionalmedian $1,096 · 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 $9,772.37 Typical High $21,877.62 | Facility | None | $1,023.29 | $9,772.37 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $2,137.96 | Professional | None | $831.76 | $1,023.29 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $3,630.78 Typical High $8,128.31 | Facility | None | $1,621.81 | $3,630.78 | $8,128.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $794.33 Median $1,318.26 Typical High $1,819.70 | Professional | None | $794.33 | $1,318.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,691.53 | Facility | None | $602.56 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,621.81 | Professional | None | $870.96 | $1,000.00 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $2,884.03 | Facility | None | $812.83 | $1,023.29 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,047.13 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,621.81 | Professional | None | $776.25 | $1,148.15 | $1,621.81 |
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 $794.33 Median $1,000.00 Typical High $1,513.56 | Professional | None | $794.33 | $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 $436.52 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $436.52 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $177.83 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | GC · Resident with teaching physician | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $524.81 Typical High $794.33 | Professional | 51 · Multiple procedures | $524.81 | $524.81 | $794.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $208.93 Typical High $316.23 | Professional | 80 · Assistant surgeon | $208.93 | $208.93 | $316.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $147.91 Typical High $223.87 | Professional | 81 · Minimal assistant surgeon | $147.91 | $147.91 | $223.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $147.91 Typical High $223.87 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $147.91 | $223.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $147.91 Typical High $223.87 | Professional | AS · PA/NP assist | $147.91 | $147.91 | $223.87 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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 $7,351KY $2,168
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.