How much rates vary
Facilitymedian $3,631 · 10th to 90th $813 to $13,804Professionalmedian $912 · 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 $3,890.45 Typical High $12,589.25 | Facility | None | $851.14 | $3,890.45 | $12,589.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,621.81 | Professional | None | $891.25 | $1,348.96 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $5,623.41 | Facility | None | $602.56 | $2,398.83 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,288.25 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,096.48 Typical High $2,754.23 | Facility | None | $630.96 | $1,096.48 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,258.93 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $707.95 Typical High $1,202.26 | Professional | None | $79.43 | $707.95 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $19,498.45 | Facility | None | $1,023.29 | $3,311.31 | $19,498.45 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,819.70 | Professional | None | $831.76 | $1,071.52 | $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 $1,737.80 Median $2,187.76 Typical High $2,691.53 | Professional | 50 · Both sides | $1,737.80 | $2,187.76 | $2,691.53 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $575.44 Median $724.44 Typical High $891.25 | Professional | 51 · Multiple procedures | $575.44 | $724.44 | $891.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $288.40 Typical High $363.08 | Professional | 80 · Assistant surgeon | $229.09 | $288.40 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $162.18 Median $204.17 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $162.18 | $204.17 | $251.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $162.18 Median $204.17 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $162.18 | $204.17 | $251.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $204.17 Typical High $251.19 | Professional | AS · PA/NP assist | $162.18 | $204.17 | $251.19 |
Where South Carolina sits
The same service costs 8.3 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
$1,000
AK $4,169TX $501
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.