How much rates vary
Facilitymedian $871 · 10th to 90th $309 to $14,125Professionalmedian $813 · 10th to 90th $575 to $1,230
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 $794.33 Median $5,888.44 Typical High $21,877.62 | Facility | None | $794.33 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | None | $676.08 | $794.33 | $794.33 |
BCBS Setting Facility Modifier None Typical Low $676.08 Median $977.24 Typical High $15,135.61 | Facility | None | $676.08 | $977.24 | $15,135.61 |
BCBS Setting Professional Modifier None Typical Low $562.34 Median $954.99 Typical High $1,412.54 | Professional | None | $562.34 | $954.99 | $1,412.54 |
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 $812.83 Median $812.83 Typical High $1,318.26 | Professional | None | $812.83 | $812.83 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $794.33 Typical High $1,513.56 | Facility | None | $588.84 | $794.33 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,096.48 | Professional | None | $776.25 | $912.01 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,071.52 | Professional | None | $588.84 | $724.44 | $1,071.52 |
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 $575.44 Median $724.44 Typical High $1,174.90 | Professional | None | $575.44 | $724.44 | $1,174.90 |
10 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 52 · Reduced service Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $338.84 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $134.90 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $501.19 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $100.00 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $67.61 | $79.43 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $512.86 Typical High $645.65 | Professional | 51 · Multiple procedures | $436.52 | $512.86 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $204.17 Typical High $257.04 | Professional | 80 · Assistant surgeon | $173.78 | $204.17 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $123.03 | $144.54 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $144.54 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | AS · PA/NP assist | $123.03 | $144.54 | $181.97 |
Where South Carolina sits
The same service costs 4.7 times more in Alaska than in Utah. 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.
South Carolina· 31st of 51
$871
AK $2,754UT $589
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.