How much rates vary
Facilitymedian $1,995 · 10th to 90th $794 to $10,965Professionalmedian $661 · 10th to 90th $98 to $1,000
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 $812.83 Median $10,000.00 Typical High $21,877.62 | Facility | None | $812.83 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | None | $691.83 | $812.83 | $812.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,120.11 | Facility | None | $851.14 | $2,818.38 | $9,120.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,071.52 | Professional | None | $645.65 | $870.96 | $1,071.52 |
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 $794.33 Median $812.83 Typical High $1,258.93 | Professional | None | $794.33 | $812.83 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $812.83 Typical High $1,949.84 | Facility | None | $616.60 | $812.83 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,047.13 | Professional | None | $812.83 | $1,000.00 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $870.96 | Professional | None | $79.43 | $501.19 | $870.96 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,202.26 | Professional | None | $588.84 | $741.31 | $1,202.26 |
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 $346.74 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $346.74 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $501.19 Typical High $630.96 | Professional | 51 · Multiple procedures | $416.87 | $501.19 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $199.53 Typical High $251.19 | Professional | 80 · Assistant surgeon | $165.96 | $199.53 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $138.04 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $117.49 | $138.04 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $138.04 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $138.04 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $138.04 Typical High $177.83 | Professional | AS · PA/NP assist | $117.49 | $138.04 | $177.83 |
Where South Carolina sits
The same service costs 8.5 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· 42nd of 51
$741
AK $2,951TX $347
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.