How much rates vary
Facilitymedian $1,175 · 10th to 90th $437 to $8,710Professionalmedian $1,148 · 10th to 90th $162 to $1,905
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 $1,318.26 Median $9,120.11 Typical High $22,908.68 | Facility | None | $1,318.26 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,202.26 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,202.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,148.15 | $1,380.38 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,778.28 | Facility | None | $1,174.90 | $1,318.26 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,380.38 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $954.99 Typical High $1,905.46 | Professional | None | $134.90 | $954.99 | $1,905.46 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $2,454.71 | Professional | None | $1,096.48 | $1,348.96 | $2,454.71 |
8 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 54 · Surgery only Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $912.01 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $851.14 | $933.25 | $933.25 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,089.30 Typical High $3,235.94 | Professional | 50 · Both sides | $1,659.59 | $2,089.30 | $3,235.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $549.54 Median $691.83 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $549.54 | $691.83 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $281.84 Typical High $426.58 | Professional | 80 · Assistant surgeon | $218.78 | $281.84 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $194.98 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $154.88 | $194.98 | $302.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $194.98 Typical High $302.00 | Professional | 82 · Assistant surgeon, no resident | $154.88 | $194.98 | $302.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $302.00 | Professional | AS · PA/NP assist | $154.88 | $194.98 | $302.00 |
Where South Carolina sits
The same service costs 6.8 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· 43rd of 51
$1,148
AK $5,012TX $741
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.