How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,445 to $17,783Professionalmedian $832 · 10th to 90th $107 to $1,202
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 $977.24 Median $12,022.64 Typical High $21,877.62 | Facility | None | $977.24 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $5,754.40 Typical High $17,378.01 | Facility | None | $1,698.24 | $5,754.40 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $741.31 Median $1,122.02 Typical High $1,288.25 | Professional | None | $741.31 | $1,122.02 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,677.35 Typical High $7,585.78 | Facility | None | $630.96 | $4,677.35 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,548.82 | Professional | None | $977.24 | $1,000.00 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $3,311.31 | Facility | None | $933.25 | $1,318.26 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,949.84 | Professional | None | $977.24 | $1,148.15 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $1,047.13 | Professional | None | $79.43 | $602.56 | $1,047.13 |
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 $707.95 Median $891.25 Typical High $1,479.11 | Professional | None | $707.95 | $891.25 | $1,479.11 |
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 $416.87 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $416.87 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $630.96 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $125.89 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $83.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $588.84 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $707.95 Typical High $977.24 | Professional | 51 · Multiple procedures | $512.86 | $707.95 | $977.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $281.84 Typical High $389.05 | Professional | 80 · Assistant surgeon | $208.93 | $281.84 | $389.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $199.53 Typical High $275.42 | Professional | 81 · Minimal assistant surgeon | $144.54 | $199.53 | $275.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $199.53 Typical High $275.42 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $199.53 | $275.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $199.53 Typical High $275.42 | Professional | AS · PA/NP assist | $144.54 | $199.53 | $275.42 |
Where South Carolina sits
The same service costs 17.8 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· 38th of 51
$933
AK $3,388TX $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.