How much rates vary
Facilitymedian $794 · 10th to 90th $158 to $2,188Professionalmedian $380 · 10th to 90th $89 to $589
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 $416.87 Median $4,897.79 Typical High $21,877.62 | Facility | None | $416.87 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $457.09 | Professional | None | $380.19 | $416.87 | $457.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $2,137.96 | Facility | None | $489.78 | $794.33 | $2,137.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $426.58 | Professional | None | $288.40 | $346.74 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $371.54 Typical High $707.95 | Facility | None | $151.36 | $371.54 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $676.08 | Professional | None | $354.81 | $380.19 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $436.52 Typical High $630.96 | Facility | None | $245.47 | $436.52 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $537.03 | Professional | None | $371.54 | $457.09 | $537.03 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $363.08 Typical High $616.60 | Professional | None | $38.90 | $363.08 | $616.60 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $602.56 | Professional | None | $295.12 | $371.54 | $602.56 |
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 $194.98 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $194.98 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $91.20 | Professional | 53 · Discontinued | $77.62 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $295.12 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $63.10 Typical High $69.18 | Professional | 55 · Aftercare only | $58.88 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $38.90 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $295.12 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $275.42 | $295.12 | $323.59 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $758.58 Typical High $1,071.52 | Professional | 50 · Both sides | $562.34 | $758.58 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $257.04 Typical High $354.81 | Professional | 51 · Multiple procedures | $186.21 | $257.04 | $354.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $102.33 Typical High $141.25 | Professional | 80 · Assistant surgeon | $74.13 | $102.33 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $70.79 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $52.48 | $70.79 | $100.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $70.79 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $70.79 | $100.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $70.79 Typical High $100.00 | Professional | AS · PA/NP assist | $52.48 | $70.79 | $100.00 |
Where South Carolina sits
The same service costs 5.2 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· 37th of 51
$389
AK $1,514TX $288
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.