How much rates vary
Facilitymedian $4,898 · 10th to 90th $794 to $19,498Professionalmedian $550 · 10th to 90th $98 to $813
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 $660.69 Median $10,000.00 Typical High $21,877.62 | Facility | None | $660.69 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $660.69 | Professional | None | $562.34 | $660.69 | $660.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $5,495.41 Typical High $18,197.01 | Facility | None | $851.14 | $5,495.41 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $891.25 | Professional | None | $524.81 | $724.44 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $7,244.36 | Facility | None | $602.56 | $2,398.83 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,023.29 | Professional | None | $630.96 | $630.96 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $741.31 Typical High $2,691.53 | Facility | None | $616.60 | $741.31 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $831.76 | Professional | None | $645.65 | $776.25 | $831.76 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $416.87 Typical High $741.31 | Professional | None | $79.43 | $416.87 | $741.31 |
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 $467.74 Median $602.56 Typical High $954.99 | Professional | None | $467.74 | $602.56 | $954.99 |
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 $281.84 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $281.84 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $112.20 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $426.58 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $85.11 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $56.23 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $398.11 | $467.74 | $467.74 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $1,174.90 Typical High $1,548.82 | Professional | 50 · Both sides | $977.24 | $1,174.90 | $1,548.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $398.11 Typical High $512.86 | Professional | 51 · Multiple procedures | $323.59 | $398.11 | $512.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $158.49 Typical High $204.17 | Professional | 80 · Assistant surgeon | $128.82 | $158.49 | $204.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $109.65 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $91.20 | $109.65 | $144.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $109.65 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $109.65 | $144.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $109.65 Typical High $144.54 | Professional | AS · PA/NP assist | $91.20 | $109.65 | $144.54 |
Where South Carolina sits
The same service costs 7.8 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
$631
AK $2,399TX $309
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.