How much rates vary
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 $2,630.27 Median $11,481.54 Typical High $21,877.62 | Facility | None | $2,630.27 | $11,481.54 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,630.27 | $2,630.27 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $35,481.34 | Facility | None | $3,467.37 | $6,918.31 | $35,481.34 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $2,884.03 | Professional | None | $2,137.96 | $2,290.87 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $12,882.50 Typical High $17,782.79 | Facility | None | $602.56 | $12,882.50 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $3,890.45 | Professional | None | $2,344.23 | $2,511.89 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $26,302.68 | Facility | None | $1,995.26 | $2,630.27 | $26,302.68 |
Medcost Setting Professional Modifier None Typical Low $2,344.23 Median $2,398.83 Typical High $3,090.30 | Professional | None | $2,344.23 | $2,398.83 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $1,737.80 Typical High $3,019.95 | Professional | None | $239.88 | $1,737.80 | $3,019.95 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $13,182.57 Typical High $33,884.42 | Facility | None | $3,311.31 | $13,182.57 | $33,884.42 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,862.09 | $2,290.87 | $3,801.89 |
7 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 54 · Surgery only Typical Low $1,698.24 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,698.24 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,819.70 | $1,819.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,148.15 Median $1,202.26 Typical High $2,041.74 | Professional | 51 · Multiple procedures | $1,148.15 | $1,202.26 | $2,041.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $467.74 Median $478.63 Typical High $812.83 | Professional | 80 · Assistant surgeon | $467.74 | $478.63 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $323.59 Median $338.84 Typical High $575.44 | Professional | 81 · Minimal assistant surgeon | $323.59 | $338.84 | $575.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $323.59 Median $338.84 Typical High $575.44 | Professional | 82 · Assistant surgeon, no resident | $323.59 | $338.84 | $575.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $323.59 Median $338.84 Typical High $575.44 | Professional | AS · PA/NP assist | $323.59 | $338.84 | $575.44 |
Where South Carolina sits
The same service costs 8.1 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
$2,239
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.