How much rates vary
Facilitymedian $708 · 10th to 90th $100 to $1,995Professionalmedian $102 · 10th to 90th $55 to $186
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 $60.26 Median $4,365.16 Typical High $16,595.87 | Facility | None | $60.26 | $4,365.16 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $128.82 | Professional | None | $58.88 | $89.13 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $162.18 | Professional | None | $72.44 | $91.20 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $1,230.27 | Facility | None | $371.54 | $912.01 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None Typical Low $42.66 Median $102.33 Typical High $213.80 | Professional | None | $42.66 | $102.33 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $1,905.46 | Facility | None | $489.78 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $141.25 | Professional | None | $70.79 | $104.71 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $114.82 Typical High $173.78 | Facility | None | $60.26 | $114.82 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $165.96 | Professional | None | $102.33 | $107.15 | $165.96 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $173.78 | Professional | None | $95.50 | $117.49 | $173.78 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $44.67 Median $75.86 Typical High $151.36 | Professional | None | $44.67 | $75.86 | $151.36 |
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 $45.71 Median $53.70 Typical High $79.43 | Professional | 54 · Surgery only | $45.71 | $53.70 | $79.43 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $151.36 Typical High $251.19 | Professional | 50 · Both sides | $117.49 | $151.36 | $251.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | 50 · Both sides | $162.18 | $162.18 | $251.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $54.95 Typical High $83.18 | Professional | 51 · Multiple procedures | $53.70 | $54.95 | $83.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $21.88 Typical High $33.11 | Professional | 80 · Assistant surgeon | $21.38 | $21.88 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $15.14 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $15.14 | $15.14 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $15.14 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $15.14 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $15.14 Typical High $23.44 | Professional | AS · PA/NP assist | $15.14 | $15.14 | $23.44 |
Where South Carolina sits
The same service costs 15.3 times more in Hawaii than in Montana. 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
HI $2,931MT $192
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.