How much rates vary
Facilitymedian $4,365 · 10th to 90th $813 to $19,055Professionalmedian $851 · 10th to 90th $102 to $1,318
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 $1,047.13 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,047.13 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $891.25 | $1,047.13 | $1,047.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $4,786.30 Typical High $18,197.01 | Facility | None | $851.14 | $4,786.30 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,445.44 | Professional | None | $812.83 | $1,174.90 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $10,471.29 | Facility | None | $602.56 | $2,398.83 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,202.26 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $4,168.69 | Facility | None | $630.96 | $1,023.29 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,047.13 | $1,148.15 | $1,659.59 |
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 $1,445.44 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 $758.58 Median $954.99 Typical High $1,737.80 | Professional | None | $758.58 | $954.99 | $1,737.80 |
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 $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $446.68 | $524.81 | $524.81 |
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 $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 $134.90 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $134.90 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $89.13 | $104.71 | $104.71 |
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 $1,698.24 Median $1,949.84 Typical High $2,454.71 | Professional | 50 · Both sides | $1,698.24 | $1,949.84 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $575.44 Median $660.69 Typical High $812.83 | Professional | 51 · Multiple procedures | $575.44 | $660.69 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $263.03 Typical High $331.13 | Professional | 80 · Assistant surgeon | $229.09 | $263.03 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $158.49 | $181.97 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $181.97 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | AS · PA/NP assist | $158.49 | $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· 43rd 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.