How much rates vary
Facilitymedian $8,128 · 10th to 90th $933 to $19,498Professionalmedian $1,585 · 10th to 90th $347 to $2,570
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 $1,380.38 Median $1,380.38 Typical High $1,778.28 | Facility | None | $1,380.38 | $1,380.38 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,445.44 | $1,778.28 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6,606.93 Median $11,481.54 Typical High $19,952.62 | Facility | None | $6,606.93 | $11,481.54 | $19,952.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,023.29 | $1,737.80 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,698.24 | Facility | None | $602.56 | $933.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,698.24 | $1,995.26 | $2,818.38 |
Medcost Setting Facility Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,041.74 | Facility | None | $1,122.02 | $1,621.81 | $2,041.74 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,089.30 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $1,258.93 Typical High $2,137.96 | Professional | None | $158.49 | $1,258.93 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $21,379.62 | Facility | None | $1,445.44 | $4,265.80 | $21,379.62 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,659.59 | $2,754.23 |
10 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 $691.83 Median $724.44 Typical High $891.25 | Professional | 52 · Reduced service | $691.83 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $288.40 Typical High $354.81 | Professional | 53 · Discontinued | $275.42 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $213.80 Typical High $263.03 | Professional | 55 · Aftercare only | $208.93 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $144.54 Typical High $177.83 | Professional | 56 · Pre-op care only | $138.04 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,000.00 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $954.99 | $1,000.00 | $1,230.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,023.29 Median $1,148.15 Typical High $1,380.38 | Professional | 51 · Multiple procedures | $1,023.29 | $1,148.15 | $1,380.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $457.09 Typical High $549.54 | Professional | 80 · Assistant surgeon | $416.87 | $457.09 | $549.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $288.40 Median $323.59 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $288.40 | $323.59 | $380.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $288.40 Median $323.59 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $288.40 | $323.59 | $380.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $323.59 Typical High $380.19 | Professional | AS · PA/NP assist | $288.40 | $323.59 | $380.19 |
Where South Carolina sits
The same service costs 5.1 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· 36th of 51
$1,622
AK $4,786TX $933
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.