How much rates vary
Facilitymedian $3,631 · 10th to 90th $977 to $13,183Professionalmedian $631 · 10th to 90th $93 to $955
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 $707.95 Median $12,022.64 Typical High $22,908.68 | Facility | None | $707.95 | $12,022.64 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $707.95 | Professional | None | $616.60 | $707.95 | $707.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $3,890.45 Typical High $12,302.69 | Facility | None | $1,548.82 | $3,890.45 | $12,302.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,096.48 | Professional | None | $562.34 | $776.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,737.80 | Facility | None | $630.96 | $1,023.29 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,122.02 | Professional | None | $630.96 | $630.96 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $2,089.30 | Facility | None | $691.83 | $912.01 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,096.48 | Professional | None | $707.95 | $776.25 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $354.81 Typical High $794.33 | Professional | None | $77.62 | $354.81 | $794.33 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,548.13 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,548.13 | $18,197.01 |
United Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,047.13 | Professional | None | $501.19 | $630.96 | $1,047.13 |
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 $302.00 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $457.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $91.20 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $426.58 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,348.96 Typical High $1,659.59 | Professional | 50 · Both sides | $1,047.13 | $1,348.96 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $446.68 Typical High $549.54 | Professional | 51 · Multiple procedures | $346.74 | $446.68 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $177.83 Typical High $223.87 | Professional | 80 · Assistant surgeon | $141.25 | $177.83 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $125.89 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $97.72 | $125.89 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $125.89 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $125.89 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $125.89 Typical High $154.88 | Professional | AS · PA/NP assist | $97.72 | $125.89 | $154.88 |
Where South Carolina sits
The same service costs 7.2 times more in Alaska than in Utah. 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· 36th of 51
$708
AK $2,570UT $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.