How much rates vary
Facilitymedian $2,138 · 10th to 90th $676 to $7,244Professionalmedian $871 · 10th to 90th $102 to $1,349
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 $1,230.27 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,230.27 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,454.71 Typical High $6,918.31 | Facility | None | $851.14 | $2,454.71 | $6,918.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,096.48 | Professional | None | $707.95 | $933.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $3,630.78 | Facility | None | $602.56 | $2,398.83 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,862.09 | Professional | None | $660.69 | $707.95 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $2,137.96 | Facility | None | $616.60 | $794.33 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,412.54 | Professional | None | $812.83 | $1,122.02 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $758.58 Typical High $1,318.26 | Professional | None | $79.43 | $758.58 | $1,318.26 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,698.24 | Professional | None | $707.95 | $1,000.00 | $1,698.24 |
11 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 $524.81 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $524.81 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $776.25 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $154.88 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $724.44 | $851.14 | $851.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $407.38 Median $562.34 Typical High $933.25 | Professional | 51 · Multiple procedures | $407.38 | $562.34 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $223.87 Typical High $380.19 | Professional | 80 · Assistant surgeon | $162.18 | $223.87 | $380.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $154.88 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $114.82 | $154.88 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $154.88 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $154.88 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $154.88 Typical High $263.03 | Professional | AS · PA/NP assist | $114.82 | $154.88 | $263.03 |
Where South Carolina sits
The same service costs 7.8 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· 44th of 51
$933
AK $4,365TX $562
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.