How much rates vary
Facilitymedian $1,778 · 10th to 90th $794 to $10,715Professionalmedian $832 · 10th to 90th $129 to $1,202
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 $1,000.00 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,000.00 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | None | $912.01 | $1,000.00 | $1,000.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,884.03 Typical High $9,120.11 | Facility | None | $851.14 | $2,884.03 | $9,120.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $1,258.93 | Professional | None | $812.83 | $831.76 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,380.38 Typical High $2,238.72 | Facility | None | $602.56 | $1,380.38 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,288.25 | Professional | None | $758.58 | $891.25 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,698.24 | Facility | None | $630.96 | $1,000.00 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,202.26 | Professional | None | $912.01 | $1,071.52 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,023.29 | Professional | None | $79.43 | $645.65 | $1,023.29 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,584.89 | Professional | None | $724.44 | $912.01 | $1,584.89 |
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 $457.09 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $457.09 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $181.97 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $676.08 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $134.90 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $91.20 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $630.96 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $549.54 Typical High $660.69 | Professional | 51 · Multiple procedures | $457.09 | $549.54 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $223.87 Typical High $263.03 | Professional | 80 · Assistant surgeon | $181.97 | $223.87 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $154.88 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $125.89 | $154.88 | $186.21 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $154.88 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $154.88 | $186.21 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $154.88 Typical High $186.21 | Professional | AS · PA/NP assist | $125.89 | $154.88 | $186.21 |
Where South Carolina sits
The same service costs 7.1 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· 41st of 51
$955
AK $3,802TX $537
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.