How much rates vary
Facilitymedian $170 · 10th to 90th $76 to $1,175Professionalmedian $100 · 10th to 90th $55 to $170
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 $69.18 Median $147.91 Typical High $21,877.62 | Facility | None | $69.18 | $147.91 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $147.91 | Professional | None | $69.18 | $107.15 | $147.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $416.87 | Facility | None | $134.90 | $223.87 | $416.87 |
BCBS South Carolina Setting Professional Modifier None Typical Low $48.98 Median $97.72 Typical High $134.90 | Professional | None | $48.98 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $107.15 Typical High $169.82 | Facility | None | $75.86 | $107.15 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $89.13 Typical High $151.36 | Professional | None | $54.95 | $89.13 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $169.82 | Facility | None | $51.29 | $69.18 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $154.88 | Professional | None | $100.00 | $125.89 | $154.88 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $229.09 | Professional | None | $125.89 | $154.88 | $229.09 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $173.78 | Professional | None | $53.70 | $97.72 | $173.78 |
11 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 $33.88 Median $33.88 Typical High $74.13 | Professional | 52 · Reduced service | $33.88 | $33.88 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $29.51 | Professional | 53 · Discontinued | $13.80 | $13.80 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $109.65 | Professional | 54 · Surgery only | $51.29 | $51.29 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $22.39 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $14.79 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $14.79 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | GC · Resident with teaching physician | $173.78 | $173.78 | $173.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $63.10 Typical High $97.72 | Professional | 51 · Multiple procedures | $48.98 | $63.10 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $25.12 Typical High $38.90 | Professional | 80 · Assistant surgeon | $19.95 | $25.12 | $38.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $17.78 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $13.80 | $17.78 | $26.92 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $17.78 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $17.78 | $26.92 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $17.78 Typical High $26.92 | Professional | AS · PA/NP assist | $13.80 | $17.78 | $26.92 |
Where South Carolina sits
The same service costs 3.2 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· 45th of 51
$102
AK $275KY $85.11
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.