How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,399 to $20,893Professionalmedian $1,660 · 10th to 90th $251 to $2,455
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 $1,995.26 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,995.26 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,995.26 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,630.78 Median $7,079.46 Typical High $19,952.62 | Facility | None | $3,630.78 | $7,079.46 | $19,952.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,659.59 | $1,737.80 | $2,238.72 |
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 $1,659.59 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,659.59 | $1,659.59 | $2,951.21 |
Medcost Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $8,317.64 | Facility | None | $1,230.27 | $1,995.26 | $8,317.64 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,778.28 | $1,995.26 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $1,412.54 Typical High $2,398.83 | Professional | None | $199.53 | $1,412.54 | $2,398.83 |
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 $1,380.38 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,380.38 | $1,698.24 | $2,691.53 |
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 $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $851.14 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $338.84 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,288.25 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $169.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $870.96 Median $1,096.48 Typical High $1,548.82 | Professional | 51 · Multiple procedures | $870.96 | $1,096.48 | $1,548.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $436.52 Typical High $616.60 | Professional | 80 · Assistant surgeon | $354.81 | $436.52 | $616.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $245.47 Median $302.00 Typical High $436.52 | Professional | 81 · Minimal assistant surgeon | $245.47 | $302.00 | $436.52 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $245.47 Median $302.00 Typical High $436.52 | Professional | 82 · Assistant surgeon, no resident | $245.47 | $302.00 | $436.52 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $302.00 Typical High $436.52 | Professional | AS · PA/NP assist | $245.47 | $302.00 | $436.52 |
Where South Carolina sits
The same service costs 11.2 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· 41st of 51
$1,738
AK $7,244TX $646
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.