How much rates vary
Facilitymedian $2,399 · 10th to 90th $676 to $19,498Professionalmedian $550 · 10th to 90th $89 to $1,047
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 $602.56 Median $5,888.44 Typical High $21,877.62 | Facility | None | $602.56 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $1,698.24 Typical High $18,197.01 | Facility | None | $691.83 | $1,698.24 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $1,047.13 | Professional | None | $478.63 | $676.08 | $1,047.13 |
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 $660.69 Median $870.96 Typical High $1,174.90 | Professional | None | $660.69 | $870.96 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $2,290.87 | Facility | None | $588.84 | $812.83 | $2,290.87 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,380.38 | Professional | None | $588.84 | $724.44 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $436.52 Typical High $691.83 | Professional | None | $75.86 | $436.52 | $691.83 |
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 $436.52 Median $616.60 Typical High $1,318.26 | Professional | None | $436.52 | $616.60 | $1,318.26 |
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 $257.04 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $389.05 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $77.62 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $51.29 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $363.08 | $426.58 | $426.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $380.19 Typical High $691.83 | Professional | 51 · Multiple procedures | $295.12 | $380.19 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $151.36 Typical High $275.42 | Professional | 80 · Assistant surgeon | $117.49 | $151.36 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $107.15 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $81.28 | $107.15 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $107.15 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $107.15 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $107.15 Typical High $194.98 | Professional | AS · PA/NP assist | $81.28 | $107.15 | $194.98 |
Where South Carolina sits
The same service costs 6.6 times more in Alaska than in Utah. 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· 40th of 51
$603
AK $2,188UT $331
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.