How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,692 to $31,623Professionalmedian $2,455 · 10th to 90th $347 to $4,074
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 $3,090.30 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,090.30 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,691.53 | $3,090.30 | $3,090.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $36,307.81 | Facility | None | $3,467.37 | $6,918.31 | $36,307.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,344.23 | $3,548.13 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $15,135.61 Typical High $21,379.62 | Facility | None | $602.56 | $15,135.61 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,897.79 | Professional | None | $2,818.38 | $2,818.38 | $4,897.79 |
Medcost Setting Facility Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $30,902.95 | Facility | None | $2,344.23 | $3,090.30 | $30,902.95 |
Medcost Setting Professional Modifier None Typical Low $2,951.21 Median $3,235.94 Typical High $4,365.16 | Professional | None | $2,951.21 | $3,235.94 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $281.84 Median $1,905.46 Typical High $3,311.31 | Professional | None | $281.84 | $1,905.46 | $3,311.31 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $11,220.18 Typical High $33,884.42 | Facility | None | $3,311.31 | $11,220.18 | $33,884.42 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $4,677.35 | Professional | None | $2,238.72 | $2,754.23 | $4,677.35 |
12 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 $1,348.96 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,348.96 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $537.03 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,995.26 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $398.11 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $269.15 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,187.76 | $2,187.76 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $4,466.84 Median $5,623.41 Typical High $7,585.78 | Professional | 50 · Both sides | $4,466.84 | $5,623.41 | $7,585.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,479.11 Median $1,862.09 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $1,479.11 | $1,862.09 | $2,511.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $588.84 Median $758.58 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $588.84 | $758.58 | $1,000.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $416.87 Median $524.81 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $416.87 | $524.81 | $707.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $416.87 Median $524.81 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $416.87 | $524.81 | $707.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $416.87 Median $524.81 Typical High $707.95 | Professional | AS · PA/NP assist | $416.87 | $524.81 | $707.95 |
Where South Carolina sits
The same service costs 20.0 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
$2,692
AK $11,220TX $562
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.