How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,288 to $14,791Professionalmedian $501 · 10th to 90th $95 to $741
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 $616.60 Median $13,182.57 Typical High $22,908.68 | Facility | None | $616.60 | $13,182.57 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | None | $524.81 | $616.60 | $616.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $4,168.69 Typical High $12,302.69 | Facility | None | $1,621.81 | $4,168.69 | $12,302.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $741.31 | Professional | None | $426.58 | $588.84 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,819.70 Typical High $2,511.89 | Facility | None | $602.56 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $977.24 | Professional | None | $588.84 | $588.84 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $2,137.96 | Facility | None | $588.84 | $741.31 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $724.44 | Professional | None | $537.03 | $616.60 | $724.44 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $380.19 Typical High $676.08 | Professional | None | $79.43 | $380.19 | $676.08 |
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 $436.52 Median $549.54 Typical High $891.25 | Professional | None | $436.52 | $549.54 | $891.25 |
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 $263.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $398.11 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $79.43 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $371.54 | $436.52 | $436.52 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $1,071.52 Typical High $1,445.44 | Professional | 50 · Both sides | $812.83 | $1,071.52 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $354.81 Typical High $478.63 | Professional | 51 · Multiple procedures | $269.15 | $354.81 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $144.54 Typical High $190.55 | Professional | 80 · Assistant surgeon | $107.15 | $144.54 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $100.00 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $75.86 | $100.00 | $134.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $100.00 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $100.00 | $134.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $100.00 Typical High $134.90 | Professional | AS · PA/NP assist | $75.86 | $100.00 | $134.90 |
Where South Carolina sits
The same service costs 7.9 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
$550
AK $2,239TX $282
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.