How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,288 to $17,783Professionalmedian $676 · 10th to 90th $98 to $977
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 $812.83 Median $9,120.11 Typical High $22,908.68 | Facility | None | $812.83 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $812.83 | Professional | None | $707.95 | $812.83 | $812.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $3,630.78 Typical High $14,125.38 | Facility | None | $1,548.82 | $3,630.78 | $14,125.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,023.29 | Professional | None | $645.65 | $812.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,819.70 Typical High $2,511.89 | Facility | None | $602.56 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,202.26 | Professional | None | $758.58 | $758.58 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $812.83 Typical High $3,630.78 | Facility | None | $602.56 | $812.83 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $977.24 | Professional | None | $741.31 | $812.83 | $977.24 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $524.81 Typical High $912.01 | Professional | None | $79.43 | $524.81 | $912.01 |
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 $575.44 Median $724.44 Typical High $1,174.90 | Professional | None | $575.44 | $724.44 | $1,174.90 |
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 $354.81 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,479.11 Typical High $1,905.46 | Professional | 50 · Both sides | $1,096.48 | $1,479.11 | $1,905.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $489.78 Typical High $630.96 | Professional | 51 · Multiple procedures | $371.54 | $489.78 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $194.98 Typical High $251.19 | Professional | 80 · Assistant surgeon | $147.91 | $194.98 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $138.04 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $102.33 | $138.04 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $138.04 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $138.04 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $138.04 Typical High $177.83 | Professional | AS · PA/NP assist | $102.33 | $138.04 | $177.83 |
Where South Carolina sits
The same service costs 19.5 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
$741
AK $2,951TX $151
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.