How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,072 to $16,982Professionalmedian $851 · 10th to 90th $102 to $1,413
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 $1,023.29 Median $12,022.64 Typical High $21,877.62 | Facility | None | $1,023.29 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,023.29 | Professional | None | $891.25 | $1,023.29 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $5,495.41 Typical High $15,848.93 | Facility | None | $1,202.26 | $5,495.41 | $15,848.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,659.59 | Professional | None | $794.33 | $1,148.15 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,388.44 Typical High $7,943.28 | Facility | None | $630.96 | $3,388.44 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,023.29 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,071.52 Typical High $2,454.71 | Facility | None | $851.14 | $1,071.52 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,202.26 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $660.69 Typical High $1,122.02 | Professional | None | $79.43 | $660.69 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,513.56 | Professional | None | $741.31 | $933.25 | $1,513.56 |
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 $446.68 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $446.68 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $177.83 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $660.69 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $131.83 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $89.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $616.60 | $724.44 | $724.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $1,949.84 Typical High $2,454.71 | Professional | 50 · Both sides | $1,621.81 | $1,949.84 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $645.65 Typical High $812.83 | Professional | 51 · Multiple procedures | $537.03 | $645.65 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | 80 · Assistant surgeon | $213.80 | $257.04 | $323.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $181.97 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $151.36 | $181.97 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $181.97 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $151.36 | $181.97 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $181.97 Typical High $229.09 | Professional | AS · PA/NP assist | $151.36 | $181.97 | $229.09 |
Where South Carolina sits
The same service costs 7.9 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· 41st of 51
$955
AK $3,715TX $468
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.