How much rates vary
Facilitymedian $2,042 · 10th to 90th $813 to $12,882Professionalmedian $813 · 10th to 90th $102 to $1,202
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 $1,000.00 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,000.00 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | None | $851.14 | $1,000.00 | $1,000.00 |
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 $794.33 Median $851.14 Typical High $1,096.48 | Professional | None | $794.33 | $851.14 | $1,096.48 |
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 $933.25 Median $977.24 Typical High $1,513.56 | Professional | None | $933.25 | $977.24 | $1,513.56 |
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 $954.99 Median $1,148.15 Typical High $1,318.26 | Professional | None | $954.99 | $1,148.15 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,122.02 | Professional | None | $79.43 | $645.65 | $1,122.02 |
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 $676.08 Median $870.96 Typical High $1,412.54 | Professional | None | $676.08 | $870.96 | $1,412.54 |
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 $426.58 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $426.58 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $169.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $645.65 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $128.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $85.11 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $602.56 | $691.83 | $691.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,862.09 Typical High $2,290.87 | Professional | 50 · Both sides | $1,445.44 | $1,862.09 | $2,290.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $616.60 Typical High $776.25 | Professional | 51 · Multiple procedures | $478.63 | $616.60 | $776.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $251.19 Typical High $309.03 | Professional | 80 · Assistant surgeon | $194.98 | $251.19 | $309.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $173.78 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $134.90 | $173.78 | $213.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $173.78 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $134.90 | $173.78 | $213.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $173.78 Typical High $213.80 | Professional | AS · PA/NP assist | $134.90 | $173.78 | $213.80 |
Where South Carolina sits
The same service costs 7.9 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
$851
AK $3,548TX $447
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.