How much rates vary
Facilitymedian $7,762 · 10th to 90th $2,512 to $21,380Professionalmedian $1,175 · 10th to 90th $151 to $1,738
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 $1,445.44 Median $13,182.57 Typical High $22,908.68 | Facility | None | $1,445.44 | $13,182.57 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,445.44 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,715.35 Median $7,585.78 Typical High $20,892.96 | Facility | None | $3,715.35 | $7,585.78 | $20,892.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,412.54 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $9,549.93 Typical High $15,848.93 | Facility | None | $602.56 | $9,549.93 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,479.11 | $2,290.87 |
Medcost Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $15,488.17 | Facility | None | $1,288.25 | $1,949.84 | $15,488.17 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,621.81 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $912.01 Typical High $1,584.89 | Professional | None | $120.23 | $912.01 | $1,584.89 |
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 $1,047.13 Median $1,318.26 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,318.26 | $2,137.96 |
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 $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $933.25 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $125.89 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $870.96 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $2,754.23 Typical High $3,388.44 | Professional | 50 · Both sides | $2,290.87 | $2,754.23 | $3,388.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $758.58 Median $912.01 Typical High $1,122.02 | Professional | 51 · Multiple procedures | $758.58 | $912.01 | $1,122.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $363.08 Typical High $457.09 | Professional | 80 · Assistant surgeon | $309.03 | $363.08 | $457.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | 81 · Minimal assistant surgeon | $213.80 | $257.04 | $316.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | 82 · Assistant surgeon, no resident | $213.80 | $257.04 | $316.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | AS · PA/NP assist | $213.80 | $257.04 | $316.23 |
Where South Carolina sits
The same service costs 8.1 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· 41st of 51
$1,349
AK $5,248TX $646
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.