How much rates vary
Facilitymedian $2,042 · 10th to 90th $813 to $12,882Professionalmedian $776 · 10th to 90th $102 to $1,148
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 $977.24 Median $10,000.00 Typical High $21,877.62 | Facility | None | $977.24 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
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 $776.25 Median $831.76 Typical High $1,071.52 | Professional | None | $776.25 | $831.76 | $1,071.52 |
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 $912.01 Median $933.25 Typical High $1,479.11 | Professional | None | $912.01 | $933.25 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $2,137.96 | Facility | None | $630.96 | $977.24 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,318.26 | Professional | None | $933.25 | $1,122.02 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $630.96 Typical High $1,071.52 | Professional | None | $79.43 | $630.96 | $1,071.52 |
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 $660.69 Median $851.14 Typical High $1,380.38 | Professional | None | $660.69 | $851.14 | $1,380.38 |
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 $416.87 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $416.87 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $630.96 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $125.89 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $83.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $588.84 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $602.56 Typical High $741.31 | Professional | 51 · Multiple procedures | $467.74 | $602.56 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $239.88 Typical High $302.00 | Professional | 80 · Assistant surgeon | $186.21 | $239.88 | $302.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $131.83 Median $169.82 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $131.83 | $169.82 | $208.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $131.83 Median $169.82 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $131.83 | $169.82 | $208.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $169.82 Typical High $208.93 | Professional | AS · PA/NP assist | $131.83 | $169.82 | $208.93 |
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
$813
AK $3,467TX $468
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.