How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,096 to $17,783Professionalmedian $912 · 10th to 90th $102 to $1,585
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 $1,148.15 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,148.15 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | None | $977.24 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $5,495.41 Typical High $17,378.01 | Facility | None | $1,202.26 | $5,495.41 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,905.46 | Professional | None | $891.25 | $1,479.11 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,235.94 Typical High $4,677.35 | Facility | None | $630.96 | $3,235.94 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,174.90 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,754.23 | Facility | None | $912.01 | $1,148.15 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,348.96 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $724.44 Typical High $1,202.26 | Professional | None | $79.43 | $724.44 | $1,202.26 |
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 $851.14 Median $1,047.13 Typical High $1,737.80 | Professional | None | $851.14 | $1,047.13 | $1,737.80 |
12 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 $489.78 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $489.78 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $741.31 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $147.91 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $97.72 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $691.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,187.76 Typical High $3,548.13 | Professional | 50 · Both sides | $1,862.09 | $2,187.76 | $3,548.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $741.31 Typical High $1,174.90 | Professional | 51 · Multiple procedures | $616.60 | $741.31 | $1,174.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $295.12 Typical High $478.63 | Professional | 80 · Assistant surgeon | $245.47 | $295.12 | $478.63 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $204.17 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $173.78 | $204.17 | $331.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $204.17 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $204.17 | $331.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $204.17 Typical High $331.13 | Professional | AS · PA/NP assist | $173.78 | $204.17 | $331.13 |
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· 43rd of 51
$1,023
AK $4,074TX $191
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.