How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,514 to $17,783Professionalmedian $692 · 10th to 90th $98 to $1,023
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 $870.96 Median $10,964.78 Typical High $21,877.62 | Facility | None | $870.96 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | None | $741.31 | $870.96 | $870.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $5,754.40 Typical High $17,378.01 | Facility | None | $1,905.46 | $5,754.40 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,096.48 | Professional | None | $676.08 | $870.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,235.94 Typical High $4,677.35 | Facility | None | $602.56 | $3,235.94 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,380.38 | Professional | None | $851.14 | $870.96 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $870.96 Typical High $5,248.07 | Facility | None | $630.96 | $870.96 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,174.90 | Professional | None | $870.96 | $1,000.00 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $524.81 Typical High $912.01 | Professional | None | $79.43 | $524.81 | $912.01 |
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 $645.65 Median $794.33 Typical High $1,318.26 | Professional | None | $645.65 | $794.33 | $1,318.26 |
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 $371.54 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $371.54 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $147.91 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $562.34 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $112.20 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $74.13 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $524.81 | $616.60 | $616.60 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,513.56 Typical High $2,041.74 | Professional | 50 · Both sides | $1,348.96 | $1,513.56 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $501.19 Typical High $676.08 | Professional | 51 · Multiple procedures | $446.68 | $501.19 | $676.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $199.53 Typical High $269.15 | Professional | 80 · Assistant surgeon | $181.97 | $199.53 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $141.25 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $125.89 | $141.25 | $190.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $141.25 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $141.25 | $190.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $141.25 Typical High $190.55 | Professional | AS · PA/NP assist | $125.89 | $141.25 | $190.55 |
Where South Carolina sits
The same service costs 16.6 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· 42nd of 51
$776
AK $3,090TX $186
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.