How much rates vary
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 $1,288.25 Typical High $7,585.78 | Facility | None | $691.83 | $1,288.25 | $7,585.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $724.44 | Professional | None | $478.63 | $537.03 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,698.24 | Facility | None | $602.56 | $1,071.52 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $933.25 | Professional | None | $549.54 | $562.34 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $1,445.44 | Facility | None | $537.03 | $676.08 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $707.95 | Professional | None | $588.84 | $645.65 | $707.95 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $380.19 Typical High $645.65 | Professional | None | $79.43 | $380.19 | $645.65 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $870.96 | Professional | None | $426.58 | $537.03 | $870.96 |
8 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 54 · Surgery only Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $380.19 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $354.81 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $977.24 Typical High $1,412.54 | Professional | 50 · Both sides | $870.96 | $977.24 | $1,412.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $323.59 Typical High $467.74 | Professional | 51 · Multiple procedures | $295.12 | $323.59 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $128.82 Typical High $186.21 | Professional | 80 · Assistant surgeon | $117.49 | $128.82 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $91.20 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $81.28 | $91.20 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $91.20 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $91.20 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $91.20 Typical High $131.83 | Professional | AS · PA/NP assist | $81.28 | $91.20 | $131.83 |
Where South Carolina sits
The same service costs 8.1 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
$537
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.