How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,380 to $18,197Professionalmedian $1,288 · 10th to 90th $158 to $1,950
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 $1,737.80 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,737.80 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,513.56 | $1,737.80 | $1,737.80 |
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 $1,202.26 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,202.26 | $1,318.26 | $1,698.24 |
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 $1,096.48 Median $1,148.15 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,148.15 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $870.96 Median $1,737.80 Typical High $4,168.69 | Facility | None | $870.96 | $1,737.80 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,659.59 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $1,096.48 Typical High $1,862.09 | Professional | None | $120.23 | $1,096.48 | $1,862.09 |
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 $1,148.15 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,479.11 | $2,454.71 |
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 $741.31 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $741.31 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $302.00 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,122.02 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $223.87 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $151.36 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,230.27 | $1,230.27 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,089.30 Median $2,511.89 Typical High $4,073.80 | Professional | 50 · Both sides | $2,089.30 | $2,511.89 | $4,073.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $707.95 Median $831.76 Typical High $1,348.96 | Professional | 51 · Multiple procedures | $707.95 | $831.76 | $1,348.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $331.13 Typical High $537.03 | Professional | 80 · Assistant surgeon | $281.84 | $331.13 | $537.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $194.98 Median $234.42 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $194.98 | $234.42 | $380.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $194.98 Median $234.42 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $194.98 | $234.42 | $380.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $234.42 Typical High $380.19 | Professional | AS · PA/NP assist | $194.98 | $234.42 | $380.19 |
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· 45th of 51
$1,318
AK $6,166TX $724
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.