How much rates vary
Facilitymedian $2,399 · 10th to 90th $813 to $19,055Professionalmedian $933 · 10th to 90th $102 to $1,445
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 $10,000.00 Typical High $21,877.62 | Facility | None | $1,148.15 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,000.00 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $4,265.80 Typical High $19,054.61 | Facility | None | $851.14 | $4,265.80 | $19,054.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,584.89 | Professional | None | $891.25 | $1,288.25 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,778.28 Typical High $2,511.89 | Facility | None | $602.56 | $1,778.28 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,288.25 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,071.52 Typical High $2,454.71 | Facility | None | $630.96 | $1,071.52 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,258.93 | $1,737.80 |
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 $1,445.44 Median $4,265.80 Typical High $21,379.62 | Facility | None | $1,445.44 | $4,265.80 | $21,379.62 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,819.70 | Professional | None | $831.76 | $1,047.13 | $1,819.70 |
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 $501.19 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $501.19 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $741.31 | $870.96 | $870.96 |
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 $100.00 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $100.00 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $691.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $2,187.76 Typical High $2,691.53 | Professional | 50 · Both sides | $1,621.81 | $2,187.76 | $2,691.53 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $724.44 Typical High $891.25 | Professional | 51 · Multiple procedures | $537.03 | $724.44 | $891.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $288.40 Typical High $363.08 | Professional | 80 · Assistant surgeon | $213.80 | $288.40 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $204.17 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $151.36 | $204.17 | $251.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $204.17 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $151.36 | $204.17 | $251.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $204.17 Typical High $251.19 | Professional | AS · PA/NP assist | $151.36 | $204.17 | $251.19 |
Where South Carolina sits
The same service costs 8.9 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· 45th of 51
$1,023
AK $4,169TX $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.