How much rates vary
Facilitymedian $912 · 10th to 90th $490 to $7,762Professionalmedian $479 · 10th to 90th $93 to $676
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 $562.34 Median $5,623.41 Typical High $21,877.62 | Facility | None | $562.34 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $562.34 | Professional | None | $478.63 | $562.34 | $562.34 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $870.96 Typical High $7,762.47 | Facility | None | $501.19 | $870.96 | $7,762.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $660.69 | Professional | None | $457.09 | $537.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $954.99 Typical High $1,445.44 | Facility | None | $457.09 | $954.99 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $831.76 | Professional | None | $512.86 | $512.86 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,174.90 | Facility | None | $407.38 | $537.03 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $660.69 | Professional | None | $512.86 | $562.34 | $660.69 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $645.65 | Professional | None | $79.43 | $371.54 | $645.65 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $812.83 | Professional | None | $398.11 | $501.19 | $812.83 |
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 $239.88 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $239.88 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $97.72 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $363.08 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $72.44 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $47.86 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $338.84 | $398.11 | $398.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $954.99 Typical High $1,318.26 | Professional | 50 · Both sides | $758.58 | $954.99 | $1,318.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $316.23 Typical High $436.52 | Professional | 51 · Multiple procedures | $257.04 | $316.23 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $128.82 Typical High $177.83 | Professional | 80 · Assistant surgeon | $102.33 | $128.82 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $89.13 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $70.79 | $89.13 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $89.13 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $89.13 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $89.13 Typical High $123.03 | Professional | AS · PA/NP assist | $70.79 | $89.13 | $123.03 |
Where South Carolina sits
The same service costs 7.6 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
$513
AK $2,042TX $269
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.