How much rates vary
Facilitymedian $6,761 · 10th to 90th $2,399 to $18,197Professionalmedian $2,188 · 10th to 90th $347 to $3,236
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 $2,754.23 Median $10,964.78 Typical High $21,877.62 | Facility | None | $2,754.23 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,398.83 | $2,754.23 | $2,754.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $14,454.40 | Facility | None | $3,467.37 | $6,918.31 | $14,454.40 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,238.72 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,981.07 Typical High $5,623.41 | Facility | None | $602.56 | $3,981.07 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $4,365.16 | Professional | None | $2,630.27 | $2,691.53 | $4,365.16 |
Medcost Setting Facility Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $8,317.64 | Facility | None | $2,398.83 | $2,754.23 | $8,317.64 |
Medcost Setting Professional Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $3,235.94 | Professional | None | $2,754.23 | $3,019.95 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $281.84 Median $1,778.28 Typical High $3,090.30 | Professional | None | $281.84 | $1,778.28 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,606.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,995.26 | $2,511.89 | $4,073.80 |
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 $1,202.26 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,202.26 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $478.63 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,778.28 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $354.81 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $239.88 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,949.84 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,548.82 Typical High $2,137.96 | Professional | 51 · Multiple procedures | $1,412.54 | $1,548.82 | $2,137.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $575.44 Median $616.60 Typical High $851.14 | Professional | 80 · Assistant surgeon | $575.44 | $616.60 | $851.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $398.11 Median $436.52 Typical High $602.56 | Professional | 81 · Minimal assistant surgeon | $398.11 | $436.52 | $602.56 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $436.52 Typical High $602.56 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $436.52 | $602.56 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $398.11 Median $436.52 Typical High $602.56 | Professional | AS · PA/NP assist | $398.11 | $436.52 | $602.56 |
Where South Carolina sits
The same service costs 4.0 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.