How much rates vary
Facilitymedian $3,802 · 10th to 90th $813 to $13,183Professionalmedian $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 $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 $851.14 Median $977.24 Typical High $977.24 | Professional | None | $851.14 | $977.24 | $977.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $4,265.80 Typical High $11,481.54 | Facility | None | $851.14 | $4,265.80 | $11,481.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,023.29 | Professional | None | $794.33 | $851.14 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $7,762.47 | Facility | None | $602.56 | $2,398.83 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,513.56 | Professional | None | $933.25 | $954.99 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $2,344.23 | Facility | None | $630.96 | $977.24 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,288.25 | Professional | None | $831.76 | $977.24 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $630.96 Typical High $1,096.48 | Professional | None | $79.43 | $630.96 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $19,498.45 | Facility | None | $1,023.29 | $3,311.31 | $19,498.45 |
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 |
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 $426.58 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $426.58 | $489.78 | $489.78 |
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 $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $85.11 | $97.72 | $97.72 |
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 51 · Multiple procedures Typical Low $416.87 Median $616.60 Typical High $758.58 | Professional | 51 · Multiple procedures | $416.87 | $616.60 | $758.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $245.47 Typical High $309.03 | Professional | 80 · Assistant surgeon | $165.96 | $245.47 | $309.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $173.78 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $117.49 | $173.78 | $213.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $173.78 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $173.78 | $213.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $173.78 Typical High $213.80 | Professional | AS · PA/NP assist | $117.49 | $173.78 | $213.80 |
Where South Carolina sits
The same service costs 7.6 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
$832
AK $3,548TX $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.