How much rates vary
Facilitymedian $933 · 10th to 90th $468 to $7,943Professionalmedian $295 · 10th to 90th $170 to $513
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 $190.55 Median $5,623.41 Typical High $21,877.62 | Facility | None | $190.55 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $371.54 | Professional | None | $190.55 | $281.84 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $954.99 Typical High $8,128.31 | Facility | None | $512.86 | $954.99 | $8,128.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $354.81 | Professional | None | $131.83 | $263.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $1,412.54 | Facility | None | $457.09 | $912.01 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $501.19 | Professional | None | $177.83 | $316.23 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $436.52 Typical High $1,047.13 | Facility | None | $190.55 | $436.52 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | None | $288.40 | $371.54 | $436.52 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $575.44 | Professional | None | $288.40 | $407.38 | $575.44 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $501.19 | Professional | None | $154.88 | $281.84 | $501.19 |
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 $95.50 Median $97.72 Typical High $186.21 | Professional | 52 · Reduced service | $95.50 | $97.72 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $74.13 | Professional | 53 · Discontinued | $38.02 | $38.90 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $275.42 | Professional | 54 · Surgery only | $144.54 | $144.54 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $56.23 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.50 Typical High $37.15 | Professional | 56 · Pre-op care only | $19.05 | $19.50 | $37.15 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $630.96 Typical High $831.76 | Professional | 50 · Both sides | $501.19 | $630.96 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $213.80 Typical High $275.42 | Professional | 51 · Multiple procedures | $169.82 | $213.80 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $75.86 Typical High $109.65 | Professional | 80 · Assistant surgeon | $67.61 | $75.86 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $52.48 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $46.77 | $52.48 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $52.48 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $52.48 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $52.48 Typical High $77.62 | Professional | AS · PA/NP assist | $46.77 | $52.48 | $77.62 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 22nd of 51
$363
AK $933KY $240
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.