How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,660 to $23,988Professionalmedian $851 · 10th to 90th $102 to $1,230
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 $1,071.52 Median $9,120.11 Typical High $22,908.68 | Facility | None | $1,071.52 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | None | $912.01 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $28,183.83 | Facility | None | $3,467.37 | $6,918.31 | $28,183.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,479.11 | Professional | None | $812.83 | $1,174.90 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $10,471.29 Typical High $14,454.40 | Facility | None | $602.56 | $10,471.29 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,584.89 | Professional | None | $912.01 | $912.01 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $21,379.62 | Facility | None | $707.95 | $1,071.52 | $21,379.62 |
Medcost Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,230.27 | Professional | None | $977.24 | $1,071.52 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $1,148.15 | Professional | None | $79.43 | $676.08 | $1,148.15 |
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 $741.31 Median $912.01 Typical High $1,479.11 | Professional | None | $741.31 | $912.01 | $1,479.11 |
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 $457.09 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $457.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $181.97 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $91.20 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $741.31 | $741.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,698.24 Typical High $2,454.71 | Professional | 50 · Both sides | $1,479.11 | $1,698.24 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $489.78 Median $562.34 Typical High $831.76 | Professional | 51 · Multiple procedures | $489.78 | $562.34 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $223.87 Typical High $331.13 | Professional | 80 · Assistant surgeon | $194.98 | $223.87 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $138.04 Median $158.49 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $138.04 | $158.49 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $138.04 Median $158.49 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $138.04 | $158.49 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $158.49 Typical High $229.09 | Professional | AS · PA/NP assist | $138.04 | $158.49 | $229.09 |
Where South Carolina sits
The same service costs 16.2 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· 43rd of 51
$912
AK $3,802TX $234
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.