How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,047 to $13,804Professionalmedian $759 · 10th to 90th $98 to $1,122
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 $912.01 Median $10,964.78 Typical High $21,877.62 | Facility | None | $912.01 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | None | $776.25 | $912.01 | $912.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $4,168.69 Typical High $12,882.50 | Facility | None | $1,202.26 | $4,168.69 | $12,882.50 |
BCBS South Carolina Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,202.26 | Professional | None | $707.95 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,388.44 Typical High $5,623.41 | Facility | None | $630.96 | $3,388.44 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,445.44 | Professional | None | $891.25 | $891.25 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,047.13 Typical High $2,398.83 | Facility | None | $851.14 | $1,047.13 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,174.90 | Professional | None | $912.01 | $1,096.48 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $1,023.29 | Professional | None | $79.43 | $602.56 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $19,498.45 | Facility | None | $1,023.29 | $3,311.31 | $19,498.45 |
United Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,348.96 | Professional | None | $645.65 | $831.76 | $1,348.96 |
12 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 $389.05 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $389.05 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $154.88 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $588.84 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $77.62 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $549.54 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,659.59 Typical High $2,137.96 | Professional | 50 · Both sides | $1,412.54 | $1,659.59 | $2,137.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $562.34 Typical High $707.95 | Professional | 51 · Multiple procedures | $467.74 | $562.34 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $223.87 Typical High $281.84 | Professional | 80 · Assistant surgeon | $186.21 | $223.87 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $131.83 Median $154.88 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $131.83 | $154.88 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $131.83 Median $154.88 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $131.83 | $154.88 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $154.88 Typical High $199.53 | Professional | AS · PA/NP assist | $131.83 | $154.88 | $199.53 |
Where South Carolina sits
The same service costs 7.4 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· 39th of 51
$871
AK $3,311TX $447
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.