How much rates vary
Facilitymedian $3,802 · 10th to 90th $550 to $12,589Professionalmedian $933 · 10th to 90th $191 to $1,349
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 $524.81 Median $1,445.44 Typical High $16,595.87 | Facility | None | $524.81 | $1,445.44 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,047.13 | Professional | None | $524.81 | $758.58 | $1,047.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $2,398.83 Typical High $8,912.51 | Facility | None | $512.86 | $2,398.83 | $8,912.51 |
BCBS South Carolina Setting Professional Modifier None Typical Low $398.11 Median $1,023.29 Typical High $1,348.96 | Professional | None | $398.11 | $1,023.29 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,623.41 Typical High $9,120.11 | Facility | None | $602.56 | $5,623.41 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,318.26 | Professional | None | $602.56 | $933.25 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $2,454.71 Typical High $6,025.60 | Facility | None | $524.81 | $2,454.71 | $6,025.60 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,023.29 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $933.25 Typical High $1,412.54 | Professional | None | $114.82 | $933.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $7,762.47 Typical High $22,908.68 | Facility | None | $1,819.70 | $7,762.47 | $22,908.68 |
United Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $1,288.25 | Professional | None | $398.11 | $724.44 | $1,288.25 |
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 54 · Surgery only Typical Low $398.11 Median $478.63 Typical High $776.25 | Professional | 54 · Surgery only | $398.11 | $478.63 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $446.68 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $371.54 | $446.68 | $724.44 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | AS · PA/NP assist | $69.18 | $69.18 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $512.86 Typical High $794.33 | Professional | 51 · Multiple procedures | $501.19 | $512.86 | $794.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $208.93 Typical High $316.23 | Professional | 80 · Assistant surgeon | $204.17 | $208.93 | $316.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $144.54 Typical High $223.87 | Professional | 81 · Minimal assistant surgeon | $141.25 | $144.54 | $223.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $144.54 Typical High $223.87 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $144.54 | $223.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $144.54 Typical High $223.87 | Professional | AS · PA/NP assist | $141.25 | $144.54 | $223.87 |
Where South Carolina sits
The same service costs 8.6 times more in Colorado 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
CO $14,248KY $1,661
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.