How much rates vary
Facilitymedian $1,778 · 10th to 90th $813 to $11,482Professionalmedian $1,622 · 10th to 90th $282 to $2,951
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 $2,041.74 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,041.74 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,737.80 | $2,041.74 | $2,041.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,691.53 Typical High $11,481.54 | Facility | None | $851.14 | $2,691.53 | $11,481.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,162.28 | Professional | None | $1,548.82 | $2,570.40 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,584.89 | Facility | None | $602.56 | $977.24 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,454.71 | $3,311.31 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $2,238.72 | Facility | None | $1,258.93 | $1,995.26 | $2,238.72 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,041.74 | $2,570.40 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $1,258.93 Typical High $2,137.96 | Professional | None | $239.88 | $1,258.93 | $2,137.96 |
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 $1,445.44 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,445.44 | $1,949.84 | $3,630.78 |
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 $870.96 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $870.96 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $346.74 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,288.25 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $173.78 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,148.15 Median $1,548.82 Typical High $1,778.28 | Professional | 51 · Multiple procedures | $1,148.15 | $1,548.82 | $1,778.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $457.09 Median $630.96 Typical High $707.95 | Professional | 80 · Assistant surgeon | $457.09 | $630.96 | $707.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $316.23 Median $436.52 Typical High $501.19 | Professional | 81 · Minimal assistant surgeon | $316.23 | $436.52 | $501.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $316.23 Median $436.52 Typical High $501.19 | Professional | 82 · Assistant surgeon, no resident | $316.23 | $436.52 | $501.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $436.52 Typical High $501.19 | Professional | AS · PA/NP assist | $316.23 | $436.52 | $501.19 |
Where South Carolina sits
The same service costs 21.4 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· 46th of 51
$1,660
AK $7,244TX $339
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.