How much rates vary
Facilitymedian $871 · 10th to 90th $74 to $2,089Professionalmedian $47 · 10th to 90th $23 to $72
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 $31.62 Median $4,897.79 Typical High $21,877.62 | Facility | None | $31.62 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $66.07 | Professional | None | $31.62 | $46.77 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $1,096.48 Typical High $1,621.81 | Facility | None | $501.19 | $1,096.48 | $1,621.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $23.44 Median $61.66 Typical High $61.66 | Professional | None | $23.44 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $891.25 Typical High $1,995.26 | Facility | None | $100.00 | $891.25 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $79.43 | Professional | None | $26.92 | $54.95 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $66.07 Typical High $74.13 | Facility | None | $31.62 | $66.07 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $69.18 Typical High $114.82 | Professional | None | $38.02 | $69.18 | $114.82 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $54.95 | Professional | None | $30.20 | $38.02 | $54.95 |
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 $25.12 Median $50.12 Typical High $83.18 | Professional | None | $25.12 | $50.12 | $83.18 |
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 $15.85 Median $15.85 Typical High $32.36 | Professional | 52 · Reduced service | $15.85 | $15.85 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $13.18 | Professional | 53 · Discontinued | $6.31 | $6.31 | $13.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $23.99 Typical High $48.98 | Professional | 54 · Surgery only | $23.99 | $23.99 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $9.77 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $6.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.05 Median $35.48 Typical High $56.23 | Professional | 51 · Multiple procedures | $19.05 | $35.48 | $56.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.59 Median $14.13 Typical High $22.91 | Professional | 80 · Assistant surgeon | $7.59 | $14.13 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $10.00 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $5.37 | $10.00 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $10.00 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $10.00 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $10.00 Typical High $15.85 | Professional | AS · PA/NP assist | $5.37 | $10.00 | $15.85 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$56.23
AK $148TX $37.15
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.