How much rates vary
Facilitymedian $2,344 · 10th to 90th $813 to $10,965Professionalmedian $2,455 · 10th to 90th $1,950 to $3,311
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 $2,570.40 Median $10,000.00 Typical High $21,877.62 | Facility | None | $2,570.40 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,570.40 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,332.54 | Facility | None | $851.14 | $2,818.38 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $2,951.21 | Facility | None | $602.56 | $2,137.96 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $3,311.31 | Professional | None | $1,995.26 | $2,344.23 | $3,311.31 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $3,162.28 | Facility | None | $630.96 | $1,000.00 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $2,754.23 | Professional | None | $2,137.96 | $2,290.87 | $2,754.23 |
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 $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $4,073.80 | Professional | None | $1,862.09 | $2,290.87 | $4,073.80 |
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 $1,174.90 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,174.90 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $467.74 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,737.80 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $346.74 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $234.42 | $257.04 | $257.04 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,235.94 Median $3,388.44 Typical High $5,128.61 | Professional | 50 · Both sides | $3,235.94 | $3,388.44 | $5,128.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,148.15 Typical High $1,698.24 | Professional | 51 · Multiple procedures | $1,071.52 | $1,148.15 | $1,698.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $426.58 Median $457.09 Typical High $676.08 | Professional | 80 · Assistant surgeon | $426.58 | $457.09 | $676.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $316.23 Typical High $478.63 | Professional | 81 · Minimal assistant surgeon | $302.00 | $316.23 | $478.63 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $316.23 Typical High $478.63 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $316.23 | $478.63 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $316.23 Typical High $478.63 | Professional | AS · PA/NP assist | $302.00 | $316.23 | $478.63 |
Where South Carolina sits
The same service costs 7.1 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· 38th of 51
$2,344
AK $9,772KY $1,380
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.