How much rates vary
Facilitymedian $3,311 · 10th to 90th $794 to $23,988Professionalmedian $977 · 10th to 90th $170 to $1,549
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 $1,318.26 Median $38,904.51 Typical High $72,443.60 | Facility | None | $1,318.26 | $38,904.51 | $72,443.60 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,230.27 | Professional | None | $812.83 | $891.25 | $1,230.27 |
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 $912.01 Typical High $2,041.74 | Professional | None | $912.01 | $912.01 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $3,090.30 | Facility | None | $1,071.52 | $1,318.26 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,479.11 | Professional | None | $912.01 | $1,122.02 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $954.99 Typical High $1,584.89 | Professional | None | $154.88 | $954.99 | $1,584.89 |
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 $870.96 Median $1,071.52 Typical High $1,737.80 | Professional | None | $870.96 | $1,071.52 | $1,737.80 |
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 $758.58 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $758.58 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $562.34 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $457.09 | $562.34 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $229.09 Typical High $398.11 | Professional | 80 · Assistant surgeon | $181.97 | $229.09 | $398.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $158.49 Typical High $275.42 | Professional | 81 · Minimal assistant surgeon | $128.82 | $158.49 | $275.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $158.49 Typical High $275.42 | Professional | 82 · Assistant surgeon, no resident | $128.82 | $158.49 | $275.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $158.49 Typical High $275.42 | Professional | AS · PA/NP assist | $128.82 | $158.49 | $275.42 |
Where South Carolina sits
The same service costs 5.3 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 $11,922KY $2,240
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.