How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,514 to $19,498Professionalmedian $1,349 · 10th to 90th $158 to $1,995
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 $1,659.59 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,659.59 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,659.59 | $1,659.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $14,125.38 | Facility | None | $1,778.28 | $2,951.21 | $14,125.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,258.93 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,258.93 | $1,819.70 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,128.61 Typical High $7,244.36 | Facility | None | $602.56 | $5,128.61 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,659.59 | $1,659.59 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $10,471.29 | Facility | None | $1,258.93 | $1,659.59 | $10,471.29 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,659.59 | $1,819.70 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $1,047.13 Typical High $1,819.70 | Professional | None | $120.23 | $1,047.13 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,606.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,513.56 | $2,454.71 |
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 $707.95 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $707.95 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $288.40 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,071.52 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $213.80 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $141.25 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,174.90 | $1,174.90 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,019.95 Typical High $3,890.45 | Professional | 50 · Both sides | $2,691.53 | $3,019.95 | $3,890.45 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $891.25 Median $1,000.00 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $891.25 | $1,000.00 | $1,288.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $398.11 Typical High $512.86 | Professional | 80 · Assistant surgeon | $354.81 | $398.11 | $512.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $281.84 Typical High $363.08 | Professional | 81 · Minimal assistant surgeon | $251.19 | $281.84 | $363.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $281.84 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $251.19 | $281.84 | $363.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $281.84 Typical High $363.08 | Professional | AS · PA/NP assist | $251.19 | $281.84 | $363.08 |
Where South Carolina sits
The same service costs 8.7 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· 43rd of 51
$1,479
AK $5,888TX $676
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.