How much rates vary
Facilitymedian $794 · 10th to 90th $417 to $2,754Professionalmedian $363 · 10th to 90th $240 to $759
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 $354.81 Median $5,623.41 Typical High $21,877.62 | Facility | None | $354.81 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $354.81 | Professional | None | $323.59 | $354.81 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,862.09 | Facility | None | $489.78 | $794.33 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $549.54 Typical High $954.99 | Facility | None | $436.52 | $549.54 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $912.01 | Professional | None | $467.74 | $616.60 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $512.86 | Facility | None | $331.13 | $416.87 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $645.65 | Professional | None | $371.54 | $630.96 | $645.65 |
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 $302.00 Median $1,122.02 Typical High $6,025.60 | Facility | None | $302.00 | $1,122.02 | $6,025.60 |
United Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $831.76 | Professional | None | $295.12 | $478.63 | $831.76 |
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 $158.49 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $158.49 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $239.88 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $47.86 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $32.36 | $35.48 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $213.80 Median $316.23 Typical High $363.08 | Professional | 51 · Multiple procedures | $213.80 | $316.23 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | 80 · Assistant surgeon | $93.33 | $125.89 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $89.13 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $64.57 | $89.13 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $89.13 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $89.13 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $89.13 Typical High $120.23 | Professional | AS · PA/NP assist | $64.57 | $89.13 | $120.23 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska 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.
South Carolina· 13th of 51
$631
AK $1,318KY $324
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.