How much rates vary
Facilitymedian $3,311 · 10th to 90th $912 to $12,589Professionalmedian $661 · 10th to 90th $141 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 $724.44 Median $10,471.29 Typical High $21,877.62 | Facility | None | $724.44 | $10,471.29 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $891.25 | Professional | None | $724.44 | $724.44 | $891.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $3,548.13 Typical High $10,232.93 | Facility | None | $1,047.13 | $3,548.13 | $10,232.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $776.25 | Professional | None | $537.03 | $588.84 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,951.21 Typical High $4,677.35 | Facility | None | $630.96 | $2,951.21 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,288.25 | Professional | None | $691.83 | $812.83 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $2,089.30 | Facility | None | $562.34 | $912.01 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,047.13 | Professional | None | $758.58 | $891.25 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $575.44 Typical High $1,000.00 | Professional | None | $117.49 | $575.44 | $1,000.00 |
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 $537.03 Median $741.31 Typical High $1,174.90 | Professional | None | $537.03 | $741.31 | $1,174.90 |
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 $363.08 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $549.54 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $630.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $380.19 Median $446.68 Typical High $691.83 | Professional | 51 · Multiple procedures | $380.19 | $446.68 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $177.83 Typical High $275.42 | Professional | 80 · Assistant surgeon | $151.36 | $177.83 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $125.89 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $107.15 | $125.89 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $125.89 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $125.89 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $125.89 Typical High $194.98 | Professional | AS · PA/NP assist | $107.15 | $125.89 | $194.98 |
Where South Carolina sits
The same service costs 6.6 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· 43rd of 51
$708
AK $3,020TX $457
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.