How much rates vary
Facilitymedian $3,236 · 10th to 90th $676 to $17,783Professionalmedian $646 · 10th to 90th $102 to $1,000
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 $794.33 Median $5,888.44 Typical High $21,877.62 | Facility | None | $794.33 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $794.33 | Professional | None | $645.65 | $794.33 | $794.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $2,951.21 Typical High $17,378.01 | Facility | None | $691.83 | $2,951.21 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $977.24 | Professional | None | $562.34 | $645.65 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,995.26 Typical High $4,677.35 | Facility | None | $602.56 | $1,995.26 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $1,288.25 | Professional | None | $645.65 | $676.08 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $794.33 Typical High $2,344.23 | Facility | None | $537.03 | $794.33 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $870.96 | Professional | None | $645.65 | $758.58 | $870.96 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $588.84 Typical High $1,000.00 | Professional | None | $81.28 | $588.84 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,258.93 | Professional | None | $588.84 | $741.31 | $1,258.93 |
11 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 $323.59 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $323.59 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $489.78 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $97.72 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $457.09 | $549.54 | $549.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $380.19 Typical High $588.84 | Professional | 51 · Multiple procedures | $323.59 | $380.19 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $151.36 Typical High $234.42 | Professional | 80 · Assistant surgeon | $128.82 | $151.36 | $234.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $107.15 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $91.20 | $107.15 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $107.15 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $107.15 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $107.15 Typical High $162.18 | Professional | AS · PA/NP assist | $91.20 | $107.15 | $162.18 |
Where South Carolina sits
The same service costs 8.1 times more in Oklahoma 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· 46th of 51
$692
OK $3,548UT $437
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.