How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,096 to $20,417Professionalmedian $933 · 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 $1,148.15 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,148.15 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | None | $977.24 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $7,079.46 Typical High $19,498.45 | Facility | None | $1,202.26 | $7,079.46 | $19,498.45 |
BCBS South Carolina Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,584.89 | Professional | None | $891.25 | $1,230.27 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,388.44 Typical High $10,471.29 | Facility | None | $630.96 | $3,388.44 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,148.15 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $1,148.15 Typical High $4,168.69 | Facility | None | $891.25 | $1,148.15 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,348.96 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $724.44 Typical High $1,230.27 | Professional | None | $79.43 | $724.44 | $1,230.27 |
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 $812.83 Median $1,047.13 Typical High $1,698.24 | Professional | None | $812.83 | $1,047.13 | $1,698.24 |
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 $489.78 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $489.78 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $194.98 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $741.31 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $147.91 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $97.72 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $691.83 | $794.33 | $794.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,137.96 Typical High $2,691.53 | Professional | 50 · Both sides | $1,778.28 | $2,137.96 | $2,691.53 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $602.56 Median $724.44 Typical High $891.25 | Professional | 51 · Multiple procedures | $602.56 | $724.44 | $891.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $239.88 Median $288.40 Typical High $354.81 | Professional | 80 · Assistant surgeon | $239.88 | $288.40 | $354.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $165.96 Median $199.53 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $165.96 | $199.53 | $251.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $165.96 Median $199.53 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $165.96 | $199.53 | $251.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $199.53 Typical High $251.19 | Professional | AS · PA/NP assist | $165.96 | $199.53 | $251.19 |
Where South Carolina sits
The same service costs 8.5 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
$1,047
AK $4,074TX $479
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.