How much rates vary
Facilitymedian $2,951 · 10th to 90th $912 to $11,220Professionalmedian $617 · 10th to 90th $89 to $891
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 $724.44 Median $10,964.78 Typical High $21,877.62 | Facility | None | $724.44 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | None | $616.60 | $724.44 | $724.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $3,981.07 Typical High $10,964.78 | Facility | None | $1,047.13 | $3,981.07 | $10,964.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $977.24 | Professional | None | $562.34 | $776.25 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,951.21 Typical High $5,623.41 | Facility | None | $630.96 | $2,951.21 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,122.02 | Professional | None | $707.95 | $707.95 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $2,089.30 | Facility | None | $691.83 | $912.01 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,000.00 | Professional | None | $724.44 | $831.76 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $354.81 Typical High $794.33 | Professional | None | $77.62 | $354.81 | $794.33 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $1,047.13 | Professional | None | $512.86 | $645.65 | $1,047.13 |
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 $309.03 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $309.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $457.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $91.20 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $426.58 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,318.26 Typical High $1,659.59 | Professional | 50 · Both sides | $1,096.48 | $1,318.26 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $436.52 Typical High $562.34 | Professional | 51 · Multiple procedures | $371.54 | $436.52 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $177.83 Typical High $223.87 | Professional | 80 · Assistant surgeon | $147.91 | $177.83 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $123.03 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $102.33 | $123.03 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $123.03 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $123.03 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $123.03 Typical High $154.88 | Professional | AS · PA/NP assist | $102.33 | $123.03 | $154.88 |
Where South Carolina sits
The same service costs 8.3 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
$708
AK $2,570TX $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.