How much rates vary
Facilitymedian $4,898 · 10th to 90th $851 to $19,498Professionalmedian $813 · 10th to 90th $93 to $1,202
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 $1,047.13 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,047.13 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $891.25 | $1,047.13 | $1,047.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $5,754.40 Typical High $19,054.61 | Facility | None | $851.14 | $5,754.40 | $19,054.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,202.26 | Professional | None | $812.83 | $977.24 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $2,511.89 | Facility | None | $630.96 | $1,000.00 | $2,511.89 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,047.13 | $1,148.15 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $1,148.15 | Professional | None | $79.43 | $676.08 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,548.82 | Professional | None | $741.31 | $954.99 | $1,548.82 |
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 $446.68 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $446.68 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $177.83 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $134.90 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $89.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $741.31 | $741.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $1,778.28 Typical High $2,454.71 | Professional | 50 · Both sides | $1,621.81 | $1,778.28 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $549.54 Median $602.56 Typical High $812.83 | Professional | 51 · Multiple procedures | $549.54 | $602.56 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $239.88 Typical High $323.59 | Professional | 80 · Assistant surgeon | $218.78 | $239.88 | $323.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $165.96 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $151.36 | $165.96 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $165.96 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $151.36 | $165.96 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $165.96 Typical High $229.09 | Professional | AS · PA/NP assist | $151.36 | $165.96 | $229.09 |
Where South Carolina sits
The same service costs 17.4 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· 44th of 51
$891
AK $3,715TX $214
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.