How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,570 to $20,893Professionalmedian $1,514 · 10th to 90th $240 to $2,239
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 $1,905.46 Median $13,182.57 Typical High $22,908.68 | Facility | None | $1,905.46 | $13,182.57 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,621.81 | $1,905.46 | $1,905.46 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,630.78 Median $7,079.46 Typical High $19,952.62 | Facility | None | $3,630.78 | $7,079.46 | $19,952.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,445.44 | $1,905.46 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,073.80 Typical High $6,606.93 | Facility | None | $602.56 | $4,073.80 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,019.95 | Professional | None | $1,905.46 | $1,949.84 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $4,570.88 | Facility | None | $1,698.24 | $2,089.30 | $4,570.88 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,905.46 | $2,137.96 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $1,174.90 Typical High $1,995.26 | Professional | None | $199.53 | $1,174.90 | $1,995.26 |
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 $1,380.38 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,380.38 | $1,737.80 | $2,818.38 |
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 $1,230.27 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,230.27 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $245.47 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,318.26 | $1,318.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,019.95 Median $3,548.13 Typical High $4,466.84 | Professional | 50 · Both sides | $3,019.95 | $3,548.13 | $4,466.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,202.26 Typical High $1,479.11 | Professional | 51 · Multiple procedures | $1,000.00 | $1,202.26 | $1,479.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $478.63 Typical High $588.84 | Professional | 80 · Assistant surgeon | $407.38 | $478.63 | $588.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | 81 · Minimal assistant surgeon | $281.84 | $331.13 | $416.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | 82 · Assistant surgeon, no resident | $281.84 | $331.13 | $416.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | AS · PA/NP assist | $281.84 | $331.13 | $416.87 |
Where South Carolina sits
The same service costs 7.8 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· 44th of 51
$1,698
AK $6,761TX $871
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.