How much rates vary
Facilitymedian $977 · 10th to 90th $617 to $7,079Professionalmedian $589 · 10th to 90th $126 to $933
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 $676.08 Median $5,623.41 Typical High $21,877.62 | Facility | None | $676.08 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $794.33 | Professional | None | $660.69 | $676.08 | $794.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $7,079.46 | Facility | None | $676.08 | $1,230.27 | $7,079.46 |
BCBS South Carolina Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $676.08 | Professional | None | $398.11 | $512.86 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $1,202.26 | Facility | None | $602.56 | $758.58 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,122.02 | Professional | None | $616.60 | $707.95 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $676.08 Typical High $1,258.93 | Facility | None | $316.23 | $676.08 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $933.25 | Professional | None | $588.84 | $776.25 | $933.25 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $537.03 Typical High $933.25 | Professional | None | $77.62 | $537.03 | $933.25 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,023.29 | Professional | None | $478.63 | $645.65 | $1,023.29 |
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 $331.13 Median $331.13 Typical High $398.11 | Professional | 52 · Reduced service | $331.13 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | 53 · Discontinued | $134.90 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | 54 · Surgery only | $501.19 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $67.61 Typical High $79.43 | Professional | 56 · Pre-op care only | $66.07 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $562.34 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $389.05 Typical High $616.60 | Professional | 51 · Multiple procedures | $295.12 | $389.05 | $616.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $154.88 Typical High $251.19 | Professional | 80 · Assistant surgeon | $117.49 | $154.88 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $109.65 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $83.18 | $109.65 | $173.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $109.65 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $109.65 | $173.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $109.65 Typical High $173.78 | Professional | AS · PA/NP assist | $83.18 | $109.65 | $173.78 |
Where South Carolina sits
The same service costs 5.6 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
$631
AK $2,399TX $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.