How much rates vary
Facilitymedian $1,096 · 10th to 90th $631 to $7,079Professionalmedian $550 · 10th to 90th $98 to $832
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 $724.44 Median $5,888.44 Typical High $21,877.62 | Facility | None | $724.44 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | None | $616.60 | $724.44 | $724.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $6,918.31 | Facility | None | $676.08 | $1,288.25 | $6,918.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $794.33 | Professional | None | $537.03 | $575.44 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,584.89 | Facility | None | $602.56 | $977.24 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $1,122.02 | Professional | None | $512.86 | $549.54 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $724.44 Typical High $1,479.11 | Facility | None | $537.03 | $724.44 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $851.14 | Professional | None | $645.65 | $676.08 | $851.14 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $478.63 Typical High $812.83 | Professional | None | $79.43 | $478.63 | $812.83 |
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 $501.19 Median $616.60 Typical High $1,047.13 | Professional | None | $501.19 | $616.60 | $1,047.13 |
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 $309.03 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $309.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $93.33 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $436.52 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $338.84 Typical High $562.34 | Professional | 51 · Multiple procedures | $323.59 | $338.84 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $138.04 Typical High $223.87 | Professional | 80 · Assistant surgeon | $128.82 | $138.04 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $89.13 Median $95.50 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $89.13 | $95.50 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $95.50 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $95.50 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $95.50 Typical High $158.49 | Professional | AS · PA/NP assist | $89.13 | $95.50 | $158.49 |
Where South Carolina sits
The same service costs 7.4 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
$589
AK $2,570TX $347
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.