How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,514 to $16,596Professionalmedian $1,995 · 10th to 90th $295 to $3,162
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 $2,630.27 Median $10,964.78 Typical High $21,877.62 | Facility | None | $2,630.27 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,630.27 | $2,630.27 |
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 $1,905.46 Median $2,951.21 Typical High $3,801.89 | Professional | None | $1,905.46 | $2,951.21 | $3,801.89 |
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 $2,691.53 Median $2,691.53 Typical High $4,073.80 | Professional | None | $2,691.53 | $2,691.53 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $8,511.38 | Facility | None | $2,089.30 | $2,630.27 | $8,511.38 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,388.44 | Professional | None | $2,630.27 | $3,019.95 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $1,548.82 Typical High $2,630.27 | Professional | None | $239.88 | $1,548.82 | $2,630.27 |
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 $1,905.46 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,398.83 | $3,981.07 |
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 $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,122.02 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $446.68 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,698.24 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $338.84 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | 56 · Pre-op care only | $223.87 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,819.70 | $1,819.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | 51 · Multiple procedures | $1,412.54 | $1,659.59 | $2,041.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $562.34 Median $660.69 Typical High $812.83 | Professional | 80 · Assistant surgeon | $562.34 | $660.69 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $389.05 Median $457.09 Typical High $575.44 | Professional | 81 · Minimal assistant surgeon | $389.05 | $457.09 | $575.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $389.05 Median $457.09 Typical High $575.44 | Professional | 82 · Assistant surgeon, no resident | $389.05 | $457.09 | $575.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $389.05 Median $457.09 Typical High $575.44 | Professional | AS · PA/NP assist | $389.05 | $457.09 | $575.44 |
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
$2,138
AK $9,333TX $427
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.