How much rates vary
Facilitymedian $468 · 10th to 90th $107 to $1,479Professionalmedian $234 · 10th to 90th $145 to $380
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 $162.18 Median $288.40 Typical High $21,877.62 | Facility | None | $162.18 | $288.40 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $288.40 | Professional | None | $162.18 | $213.80 | $288.40 |
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 $131.83 Median $199.53 Typical High $281.84 | Professional | None | $131.83 | $199.53 | $281.84 |
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 $158.49 Median $257.04 Typical High $380.19 | Professional | None | $158.49 | $257.04 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $323.59 | Facility | None | $123.03 | $181.97 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $338.84 | Professional | None | $234.42 | $288.40 | $338.84 |
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 $120.23 Median $204.17 Typical High $354.81 | Professional | None | $120.23 | $204.17 | $354.81 |
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 $81.28 Median $97.72 Typical High $144.54 | Professional | 52 · Reduced service | $81.28 | $97.72 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $57.54 | Professional | 53 · Discontinued | $32.36 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $147.91 Typical High $218.78 | Professional | 54 · Surgery only | $123.03 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $29.51 Typical High $43.65 | Professional | 55 · Aftercare only | $24.55 | $29.51 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $19.95 Typical High $28.84 | Professional | 56 · Pre-op care only | $16.22 | $19.95 | $28.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $147.91 Typical High $223.87 | Professional | 51 · Multiple procedures | $117.49 | $147.91 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $60.26 Typical High $91.20 | Professional | 80 · Assistant surgeon | $46.77 | $60.26 | $91.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $33.11 | $41.69 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $41.69 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | AS · PA/NP assist | $33.11 | $41.69 | $63.10 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 31st of 51
$240
AK $631KY $155
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.