How much rates vary
Facilitymedian $3,020 · 10th to 90th $562 to $16,596Professionalmedian $724 · 10th to 90th $89 to $1,096
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 $851.14 Median $5,623.41 Typical High $21,877.62 | Facility | None | $851.14 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $851.14 | Professional | None | $707.95 | $851.14 | $851.14 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $2,290.87 Typical High $15,135.61 | Facility | None | $512.86 | $2,290.87 | $15,135.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $724.44 | Professional | None | $407.38 | $630.96 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,511.89 Typical High $3,890.45 | Facility | None | $602.56 | $2,511.89 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,318.26 | Professional | None | $724.44 | $724.44 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $2,398.83 | Facility | None | $741.31 | $2,041.74 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $977.24 | Professional | None | $691.83 | $691.83 | $977.24 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $741.31 Typical High $1,122.02 | Professional | None | $75.86 | $741.31 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,606.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,148.15 | Professional | None | $575.44 | $707.95 | $1,148.15 |
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 $537.03 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $537.03 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $501.19 | $602.56 | $602.56 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,047.13 Typical High $1,949.84 | Professional | 50 · Both sides | $1,047.13 | $1,047.13 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $346.74 Typical High $645.65 | Professional | 51 · Multiple procedures | $346.74 | $346.74 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $138.04 Typical High $257.04 | Professional | 80 · Assistant surgeon | $138.04 | $138.04 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $97.72 | $97.72 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $97.72 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | AS · PA/NP assist | $97.72 | $97.72 | $181.97 |
Where South Carolina sits
The same service costs 4.7 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 $9,511KY $2,029
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.