How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,413 to $18,621Professionalmedian $1,445 · 10th to 90th $955 to $2,692
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 $1,412.54 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,412.54 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Professional | None | $1,412.54 | $1,412.54 | $1,479.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $3,467.37 | Facility | None | $1,698.24 | $2,951.21 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $8,128.31 Typical High $11,481.54 | Facility | None | $602.56 | $8,128.31 | $11,481.54 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $10,964.78 | Facility | None | $1,412.54 | $1,698.24 | $10,964.78 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,412.54 | $1,412.54 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
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 $1,479.11 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,479.11 | $1,905.46 | $3,162.28 |
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 $707.95 Median $707.95 Typical High $741.31 | Professional | 52 · Reduced service | $707.95 | $707.95 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | 53 · Discontinued | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $707.95 Median $707.95 Typical High $1,380.38 | Professional | 51 · Multiple procedures | $707.95 | $707.95 | $1,380.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $281.84 Typical High $549.54 | Professional | 80 · Assistant surgeon | $281.84 | $281.84 | $549.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $199.53 | $199.53 | $380.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $199.53 | $380.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | AS · PA/NP assist | $199.53 | $199.53 | $380.19 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 40th of 51
$2,138
AK $6,457IN $1,318
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.