How much rates vary
Facilitymedian $2,042 · 10th to 90th $813 to $12,882Professionalmedian $891 · 10th to 90th $141 to $1,259
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 $1,071.52 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,071.52 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | None | $912.01 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,951.21 Typical High $11,481.54 | Facility | None | $851.14 | $2,951.21 | $11,481.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,174.90 | Professional | None | $851.14 | $954.99 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,778.28 Typical High $2,511.89 | Facility | None | $602.56 | $1,778.28 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,023.29 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $2,137.96 | Facility | None | $630.96 | $1,000.00 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,230.27 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $724.44 Typical High $1,230.27 | Professional | None | $117.49 | $724.44 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,513.56 | Professional | None | $724.44 | $933.25 | $1,513.56 |
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 $457.09 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $457.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $181.97 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $691.83 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $91.20 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $645.65 | $741.31 | $741.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $660.69 Typical High $831.76 | Professional | 51 · Multiple procedures | $512.86 | $660.69 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $269.15 Typical High $331.13 | Professional | 80 · Assistant surgeon | $204.17 | $269.15 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $186.21 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $144.54 | $186.21 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $186.21 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $186.21 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $186.21 Typical High $229.09 | Professional | AS · PA/NP assist | $144.54 | $186.21 | $229.09 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska than in Hawaii. 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.
Physician feeFacility fee
AK $8,167HI $2,648
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.