How much rates vary
Facilitymedian $204 · 10th to 90th $83 to $1,175Professionalmedian $100 · 10th to 90th $66 to $148
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 $79.43 Median $112.20 Typical High $21,877.62 | Facility | None | $79.43 | $112.20 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $112.20 | Professional | None | $79.43 | $83.18 | $112.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $295.12 Typical High $512.86 | Facility | None | $169.82 | $295.12 | $512.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $114.82 | Professional | None | $63.10 | $70.79 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $93.33 Typical High $151.36 | Facility | None | $75.86 | $93.33 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $154.88 | Professional | None | $69.18 | $100.00 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $141.25 | Facility | None | $57.54 | $91.20 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $131.83 | Professional | None | $95.50 | $112.20 | $131.83 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $173.78 | Professional | None | $95.50 | $117.49 | $173.78 |
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 $56.23 Median $83.18 Typical High $141.25 | Professional | None | $56.23 | $83.18 | $141.25 |
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 $38.90 Median $41.69 Typical High $56.23 | Professional | 52 · Reduced service | $38.90 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $61.66 Typical High $85.11 | Professional | 54 · Surgery only | $58.88 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.59 Typical High $16.98 | Professional | 55 · Aftercare only | $11.75 | $12.59 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.32 Typical High $11.22 | Professional | 56 · Pre-op care only | $7.94 | $8.32 | $11.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $61.66 Typical High $87.10 | Professional | 51 · Multiple procedures | $47.86 | $61.66 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $24.55 Typical High $34.67 | Professional | 80 · Assistant surgeon | $19.05 | $24.55 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $17.38 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $13.49 | $17.38 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $17.38 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $17.38 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $17.38 Typical High $24.55 | Professional | AS · PA/NP assist | $13.49 | $17.38 | $24.55 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 27th of 51
$102
AK $282FL $74.13
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.