How much rates vary
Facilitymedian $468 · 10th to 90th $107 to $1,479Professionalmedian $275 · 10th to 90th $151 to $417
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 $181.97 Median $309.03 Typical High $21,877.62 | Facility | None | $181.97 | $309.03 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $309.03 | Professional | None | $181.97 | $229.09 | $309.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $1,122.02 | Facility | None | $371.54 | $660.69 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $331.13 | Professional | None | $144.54 | $234.42 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $173.78 Typical High $281.84 | Facility | None | $75.86 | $173.78 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $407.38 | Professional | None | $181.97 | $269.15 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $338.84 | Facility | None | $134.90 | $181.97 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $363.08 | Professional | None | $218.78 | $309.03 | $363.08 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $512.86 | Professional | None | $288.40 | $354.81 | $512.86 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $380.19 | Professional | None | $134.90 | $218.78 | $380.19 |
10 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 $91.20 Median $102.33 Typical High $154.88 | Professional | 52 · Reduced service | $91.20 | $102.33 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $61.66 | Professional | 53 · Discontinued | $36.31 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $151.36 Typical High $234.42 | Professional | 54 · Surgery only | $134.90 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.90 Typical High $46.77 | Professional | 55 · Aftercare only | $27.54 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.42 Typical High $30.90 | Professional | 56 · Pre-op care only | $18.20 | $20.42 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $154.88 Typical High $239.88 | Professional | 51 · Multiple procedures | $109.65 | $154.88 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $61.66 Typical High $95.50 | Professional | 80 · Assistant surgeon | $43.65 | $61.66 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $42.66 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $30.90 | $42.66 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $42.66 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $42.66 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $42.66 Typical High $67.61 | Professional | AS · PA/NP assist | $30.90 | $42.66 | $67.61 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 18th of 51
$282
AK $661MD $182
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.