How much rates vary
Facilitymedian $3,715 · 10th to 90th $794 to $23,988Professionalmedian $1,230 · 10th to 90th $195 to $2,188
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 $1,621.81 Median $38,904.51 Typical High $72,443.60 | Facility | None | $1,621.81 | $38,904.51 | $72,443.60 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,318.26 | $1,621.81 | $1,621.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,479.11 | Professional | None | $812.83 | $891.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,905.46 | Facility | None | $588.84 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,479.11 Typical High $3,019.95 | Professional | None | $912.01 | $1,479.11 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $3,801.89 | Facility | None | $1,318.26 | $1,621.81 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $1,819.70 | Professional | None | $912.01 | $1,348.96 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $1,174.90 Typical High $2,238.72 | Professional | None | $177.83 | $1,174.90 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,165.95 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,165.95 | $23,988.33 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,348.96 | $2,398.83 |
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 $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $933.25 | $1,122.02 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $676.08 Typical High $1,202.26 | Professional | 51 · Multiple procedures | $457.09 | $676.08 | $1,202.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $275.42 Typical High $489.78 | Professional | 80 · Assistant surgeon | $181.97 | $275.42 | $489.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $190.55 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $128.82 | $190.55 | $338.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $190.55 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $128.82 | $190.55 | $338.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $190.55 Typical High $338.84 | Professional | AS · PA/NP assist | $128.82 | $190.55 | $338.84 |
Where South Carolina sits
The same service costs 5.7 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 $13,752KY $2,420
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.