How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,202 to $14,454Professionalmedian $275 · 10th to 90th $145 to $468
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 $154.88 Median $9,120.11 Typical High $21,877.62 | Facility | None | $154.88 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $295.12 | Professional | None | $144.54 | $199.53 | $295.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $4,466.84 Typical High $13,803.84 | Facility | None | $1,621.81 | $4,466.84 | $13,803.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $288.40 | Professional | None | $120.23 | $199.53 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,819.70 Typical High $2,454.71 | Facility | None | $602.56 | $1,819.70 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $457.09 | Professional | None | $144.54 | $213.80 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $724.44 Typical High $2,344.23 | Facility | None | $154.88 | $724.44 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $398.11 | Professional | None | $275.42 | $323.59 | $398.11 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $512.86 | Professional | None | $257.04 | $363.08 | $512.86 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $19,498.45 | Facility | None | $1,023.29 | $3,311.31 | $19,498.45 |
United Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $446.68 | Professional | None | $138.04 | $245.47 | $446.68 |
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 $72.44 Median $77.62 Typical High $147.91 | Professional | 52 · Reduced service | $72.44 | $77.62 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $58.88 | Professional | 53 · Discontinued | $28.84 | $30.90 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $117.49 Typical High $218.78 | Professional | 54 · Surgery only | $112.20 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $23.44 Typical High $44.67 | Professional | 55 · Aftercare only | $21.38 | $23.44 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.49 Typical High $29.51 | Professional | 56 · Pre-op care only | $14.45 | $15.49 | $29.51 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $478.63 Typical High $794.33 | Professional | 50 · Both sides | $407.38 | $478.63 | $794.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $162.18 Typical High $263.03 | Professional | 51 · Multiple procedures | $138.04 | $162.18 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $64.57 Typical High $95.50 | Professional | 80 · Assistant surgeon | $54.95 | $64.57 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $44.67 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $38.02 | $44.67 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $44.67 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $44.67 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $44.67 Typical High $67.61 | Professional | AS · PA/NP assist | $38.02 | $44.67 | $67.61 |
Where South Carolina sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 25th of 51
$295
AK $955HI $166
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.