How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,585 to $20,893Professionalmedian $955 · 10th to 90th $98 to $1,413
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 $1,202.26 Median $13,182.57 Typical High $22,908.68 | Facility | None | $1,202.26 | $13,182.57 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,202.26 | $1,202.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $6,456.54 Typical High $19,952.62 | Facility | None | $1,905.46 | $6,456.54 | $19,952.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,479.11 | Professional | None | $933.25 | $1,174.90 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,981.07 Typical High $5,623.41 | Facility | None | $602.56 | $3,981.07 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,202.26 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $3,715.35 Typical High $4,466.84 | Facility | None | $1,174.90 | $3,715.35 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,348.96 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $741.31 Typical High $1,258.93 | Professional | None | $79.43 | $741.31 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,606.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,778.28 | Professional | None | $851.14 | $1,096.48 | $1,778.28 |
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 54 · Surgery only Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $776.25 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $154.88 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $102.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $724.44 | $851.14 | $851.14 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,238.72 Typical High $2,818.38 | Professional | 50 · Both sides | $1,862.09 | $2,238.72 | $2,818.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $630.96 Median $758.58 Typical High $933.25 | Professional | 51 · Multiple procedures | $630.96 | $758.58 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | 80 · Assistant surgeon | $251.19 | $302.00 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $208.93 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $173.78 | $208.93 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $208.93 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $208.93 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $208.93 Typical High $263.03 | Professional | AS · PA/NP assist | $173.78 | $208.93 | $263.03 |
Where South Carolina sits
The same service costs 7.6 times more in Alaska than in Texas. 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· 45th of 51
$1,072
AK $4,266TX $562
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.