How much rates vary
Facilitymedian $468 · 10th to 90th $107 to $1,445Professionalmedian $302 · 10th to 90th $178 to $457
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 $213.80 Median $354.81 Typical High $21,877.62 | Facility | None | $213.80 | $354.81 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $354.81 | Professional | None | $213.80 | $245.47 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $346.74 Median $616.60 Typical High $1,122.02 | Facility | None | $346.74 | $616.60 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $380.19 | Professional | None | $169.82 | $245.47 | $380.19 |
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 $213.80 Median $302.00 Typical High $467.74 | Professional | None | $213.80 | $302.00 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $389.05 | Facility | None | $134.90 | $181.97 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $416.87 | Professional | None | $288.40 | $331.13 | $416.87 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $575.44 | Professional | None | $316.23 | $389.05 | $575.44 |
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 $154.88 Median $251.19 Typical High $436.52 | Professional | None | $154.88 | $251.19 | $436.52 |
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 $107.15 Median $120.23 Typical High $177.83 | Professional | 52 · Reduced service | $107.15 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $70.79 | Professional | 53 · Discontinued | $42.66 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $177.83 Typical High $269.15 | Professional | 54 · Surgery only | $158.49 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $53.70 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.99 Typical High $35.48 | Professional | 56 · Pre-op care only | $21.38 | $23.99 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $165.96 Typical High $275.42 | Professional | 51 · Multiple procedures | $144.54 | $165.96 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $66.07 Typical High $109.65 | Professional | 80 · Assistant surgeon | $57.54 | $66.07 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $45.71 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $39.81 | $45.71 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $45.71 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $45.71 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $45.71 Typical High $77.62 | Professional | AS · PA/NP assist | $39.81 | $45.71 | $77.62 |
Where South Carolina sits
The same service costs 3.8 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· 25th of 51
$302
AK $759MD $200
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.