How much rates vary
Facilitymedian $1,778 · 10th to 90th $692 to $7,079Professionalmedian $589 · 10th to 90th $129 to $813
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 $707.95 Median $5,888.44 Typical High $21,877.62 | Facility | None | $707.95 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $707.95 | Professional | None | $630.96 | $707.95 | $707.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,089.30 Typical High $6,918.31 | Facility | None | $851.14 | $2,089.30 | $6,918.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $870.96 | Professional | None | $575.44 | $588.84 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $2,238.72 | Facility | None | $602.56 | $1,412.54 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $870.96 | Professional | None | $501.19 | $602.56 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,621.81 | Facility | None | $645.65 | $1,071.52 | $1,621.81 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $741.31 | Professional | None | $575.44 | $707.95 | $741.31 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $467.74 Typical High $741.31 | Professional | None | $79.43 | $467.74 | $741.31 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,096.48 | Professional | None | $489.78 | $616.60 | $1,096.48 |
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 $316.23 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $316.23 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $467.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $436.52 | $489.78 | $489.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $354.81 Typical High $467.74 | Professional | 51 · Multiple procedures | $288.40 | $354.81 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $141.25 Typical High $186.21 | Professional | 80 · Assistant surgeon | $114.82 | $141.25 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $97.72 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $81.28 | $97.72 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $97.72 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $97.72 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $97.72 Typical High $128.82 | Professional | AS · PA/NP assist | $81.28 | $97.72 | $128.82 |
Where South Carolina sits
The same service costs 7.2 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· 37th of 51
$676
AK $2,630TX $363
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.