How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,288 to $18,197Professionalmedian $589 · 10th to 90th $98 to $871
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 $758.58 Median $10,964.78 Typical High $21,877.62 | Facility | None | $758.58 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | None | $645.65 | $758.58 | $758.58 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $3,630.78 Typical High $14,125.38 | Facility | None | $1,548.82 | $3,630.78 | $14,125.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $691.83 | Professional | None | $446.68 | $588.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,862.09 Typical High $2,511.89 | Facility | None | $602.56 | $1,862.09 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,202.26 | Professional | None | $741.31 | $741.31 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $758.58 Typical High $3,630.78 | Facility | None | $549.54 | $758.58 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $891.25 | Professional | None | $676.08 | $794.33 | $891.25 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $467.74 Typical High $794.33 | Professional | None | $79.43 | $467.74 | $794.33 |
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 $549.54 Median $691.83 Typical High $1,122.02 | Professional | None | $549.54 | $691.83 | $1,122.02 |
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 $323.59 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $323.59 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $131.83 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $489.78 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $97.72 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $64.57 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $457.09 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,348.96 Typical High $1,778.28 | Professional | 50 · Both sides | $1,000.00 | $1,348.96 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $446.68 Typical High $588.84 | Professional | 51 · Multiple procedures | $331.13 | $446.68 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $177.83 Typical High $234.42 | Professional | 80 · Assistant surgeon | $134.90 | $177.83 | $234.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $125.89 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $93.33 | $125.89 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $125.89 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $125.89 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $125.89 Typical High $165.96 | Professional | AS · PA/NP assist | $93.33 | $125.89 | $165.96 |
Where South Carolina sits
The same service costs 16.6 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· 46th of 51
$631
AK $2,754TX $166
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.