How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,148 to $10,965Professionalmedian $676 · 10th to 90th $129 to $955
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 $602.56 Median $10,964.78 Typical High $21,877.62 | Facility | None | $602.56 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $724.44 | Professional | None | $602.56 | $616.60 | $724.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $3,630.78 Typical High $10,232.93 | Facility | None | $1,698.24 | $3,630.78 | $10,232.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $831.76 | Professional | None | $467.74 | $691.83 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $3,890.45 | Facility | None | $630.96 | $2,398.83 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,148.15 | Professional | None | $741.31 | $851.14 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $1,202.26 Typical High $1,905.46 | Facility | None | $602.56 | $1,202.26 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,023.29 | Professional | None | $724.44 | $912.01 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $524.81 Typical High $891.25 | Professional | None | $79.43 | $524.81 | $891.25 |
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 $501.19 Median $707.95 Typical High $1,174.90 | Professional | None | $501.19 | $707.95 | $1,174.90 |
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 $302.00 Median $309.03 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $467.74 Typical High $537.03 | Professional | 54 · Surgery only | $457.09 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $93.33 Typical High $109.65 | Professional | 55 · Aftercare only | $91.20 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $61.66 Typical High $72.44 | Professional | 56 · Pre-op care only | $60.26 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $436.52 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $426.58 | $436.52 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $457.09 Typical High $562.34 | Professional | 51 · Multiple procedures | $398.11 | $457.09 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $181.97 Typical High $223.87 | Professional | 80 · Assistant surgeon | $158.49 | $181.97 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $109.65 Median $125.89 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $109.65 | $125.89 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $109.65 Median $125.89 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $109.65 | $125.89 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $125.89 Typical High $158.49 | Professional | AS · PA/NP assist | $109.65 | $125.89 | $158.49 |
Where South Carolina sits
The same service costs 6.2 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
$692
AK $2,570TX $417
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.