How much rates vary
Facilitymedian $1,349 · 10th to 90th $661 to $11,220Professionalmedian $427 · 10th to 90th $126 to $776
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 $398.11 Median $5,623.41 Typical High $21,877.62 | Facility | None | $398.11 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $660.69 | Professional | None | $398.11 | $512.86 | $660.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $1,318.26 Typical High $10,715.19 | Facility | None | $691.83 | $1,318.26 | $10,715.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $602.56 | Professional | None | $302.00 | $338.84 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,288.25 Typical High $1,949.84 | Facility | None | $602.56 | $1,288.25 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $891.25 | Professional | None | $346.74 | $512.86 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $1,348.96 | Facility | None | $389.05 | $660.69 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $776.25 | Professional | None | $562.34 | $630.96 | $776.25 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $467.74 Typical High $831.76 | Professional | None | $77.62 | $467.74 | $831.76 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $831.76 | Professional | None | $288.40 | $478.63 | $831.76 |
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 $199.53 Median $239.88 Typical High $331.13 | Professional | 52 · Reduced service | $199.53 | $239.88 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $97.72 Typical High $131.83 | Professional | 53 · Discontinued | $81.28 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $363.08 Typical High $501.19 | Professional | 54 · Surgery only | $302.00 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $100.00 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $48.98 Typical High $66.07 | Professional | 56 · Pre-op care only | $39.81 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $338.84 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $281.84 | $338.84 | $467.74 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $933.25 Typical High $1,548.82 | Professional | 50 · Both sides | $831.76 | $933.25 | $1,548.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $316.23 Typical High $512.86 | Professional | 51 · Multiple procedures | $281.84 | $316.23 | $512.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $125.89 Typical High $204.17 | Professional | 80 · Assistant surgeon | $112.20 | $125.89 | $204.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $87.10 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $77.62 | $87.10 | $144.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $87.10 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $87.10 | $144.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $87.10 Typical High $144.54 | Professional | AS · PA/NP assist | $77.62 | $87.10 | $144.54 |
Where South Carolina sits
The same service costs 4.7 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· 39th of 51
$501
AK $1,660TX $355
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.