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 $2,570.40 Median $11,481.54 Typical High $21,877.62 | Facility | None | $2,570.40 | $11,481.54 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,570.40 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $27,542.29 | Facility | None | $3,467.37 | $6,918.31 | $27,542.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,238.72 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,073.80 Typical High $6,606.93 | Facility | None | $602.56 | $4,073.80 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $3,890.45 | Professional | None | $2,089.30 | $2,290.87 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $8,317.64 | Facility | None | $2,089.30 | $2,570.40 | $8,317.64 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,511.89 | $2,951.21 |
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 $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 $1,819.70 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,187.76 | $3,467.37 |
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 $1,659.59 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,659.59 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,778.28 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,202.26 Median $1,288.25 Typical High $1,995.26 | Professional | 51 · Multiple procedures | $1,202.26 | $1,288.25 | $1,995.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $478.63 Median $512.86 Typical High $794.33 | Professional | 80 · Assistant surgeon | $478.63 | $512.86 | $794.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $363.08 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $331.13 | $363.08 | $549.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $363.08 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $363.08 | $549.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $363.08 Typical High $549.54 | Professional | AS · PA/NP assist | $331.13 | $363.08 | $549.54 |
Where South Carolina sits
The same service costs 9.1 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
$2,188
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.