How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,514 to $16,596Professionalmedian $1,862 · 10th to 90th $295 to $3,090
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 $2,511.89 Median $10,964.78 Typical High $21,877.62 | Facility | None | $2,511.89 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,511.89 | $2,511.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $11,481.54 | Facility | None | $1,778.28 | $2,951.21 | $11,481.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,754.23 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,168.69 Typical High $5,888.44 | Facility | None | $602.56 | $4,168.69 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,890.45 | Professional | None | $2,570.40 | $2,754.23 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $8,511.38 | Facility | None | $2,137.96 | $2,511.89 | $8,511.38 |
Medcost Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,754.23 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $1,479.11 Typical High $2,454.71 | Professional | None | $239.88 | $1,479.11 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,290.87 | $3,801.89 |
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 $1,071.52 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,071.52 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $426.58 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,584.89 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $316.23 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $213.80 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,737.80 | $1,737.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,258.93 Median $1,548.82 Typical High $1,905.46 | Professional | 51 · Multiple procedures | $1,258.93 | $1,548.82 | $1,905.46 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $616.60 Typical High $776.25 | Professional | 80 · Assistant surgeon | $512.86 | $616.60 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $436.52 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $354.81 | $436.52 | $537.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $436.52 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $436.52 | $537.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $436.52 Typical High $537.03 | Professional | AS · PA/NP assist | $354.81 | $436.52 | $537.03 |
Where South Carolina sits
The same service costs 21.9 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
$2,042
AK $8,710TX $398
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.