How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,445 to $17,783Professionalmedian $977 · 10th to 90th $110 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 $1,148.15 Median $12,022.64 Typical High $21,877.62 | Facility | None | $1,148.15 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $5,495.41 Typical High $17,378.01 | Facility | None | $1,698.24 | $5,495.41 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,862.09 | Professional | None | $870.96 | $1,230.27 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,311.31 Typical High $4,677.35 | Facility | None | $630.96 | $3,311.31 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,148.15 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $3,311.31 | Facility | None | $1,148.15 | $1,445.44 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,288.25 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $851.14 Typical High $1,479.11 | Professional | None | $97.72 | $851.14 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,089.30 | Professional | None | $977.24 | $1,230.27 | $2,089.30 |
12 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 $501.19 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $501.19 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $204.17 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $758.58 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $151.36 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $707.95 | $794.33 | $794.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $1,949.84 Typical High $2,818.38 | Professional | 50 · Both sides | $1,905.46 | $1,949.84 | $2,818.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $630.96 Median $645.65 Typical High $954.99 | Professional | 51 · Multiple procedures | $630.96 | $645.65 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $263.03 Typical High $371.54 | Professional | 80 · Assistant surgeon | $251.19 | $263.03 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $181.97 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $177.83 | $181.97 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $181.97 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $177.83 | $181.97 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $181.97 Typical High $257.04 | Professional | AS · PA/NP assist | $177.83 | $181.97 | $257.04 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska 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
AK $11,248MT $3,134
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.