How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,514 to $12,589Professionalmedian $1,660 · 10th to 90th $132 to $2,818
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 $9,120.11 Typical High $21,877.62 | Facility | None | $190.55 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $1,659.59 Typical High $1,995.26 | Professional | None | $173.78 | $1,659.59 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,862.09 Median $3,548.13 Typical High $10,964.78 | Facility | None | $1,862.09 | $3,548.13 | $10,964.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $120.23 Median $1,479.11 Typical High $1,949.84 | Professional | None | $120.23 | $1,479.11 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,467.37 Typical High $5,623.41 | Facility | None | $602.56 | $3,467.37 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $501.19 Typical High $3,019.95 | Professional | None | $223.87 | $501.19 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $1,949.84 Typical High $2,691.53 | Facility | None | $190.55 | $1,949.84 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $2,818.38 | Professional | None | $1,862.09 | $2,691.53 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $2,951.21 | Professional | None | $1,479.11 | $2,187.76 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $19,498.45 | Facility | None | $1,023.29 | $3,311.31 | $19,498.45 |
United Setting Professional Modifier None Typical Low $154.88 Median $1,348.96 Typical High $3,630.78 | Professional | None | $154.88 | $1,348.96 | $3,630.78 |
8 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 $141.25 Median $144.54 Typical High $1,479.11 | Professional | 54 · Surgery only | $141.25 | $144.54 | $1,479.11 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 50 · Both sides | $2,187.76 | $2,187.76 | $2,187.76 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,548.13 Median $4,073.80 Typical High $5,248.07 | Professional | 50 · Both sides | $3,548.13 | $4,073.80 | $5,248.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,174.90 Median $1,348.96 Typical High $1,778.28 | Professional | 51 · Multiple procedures | $1,174.90 | $1,348.96 | $1,778.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $467.74 Median $537.03 Typical High $616.60 | Professional | 80 · Assistant surgeon | $467.74 | $537.03 | $616.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $380.19 Typical High $436.52 | Professional | 81 · Minimal assistant surgeon | $331.13 | $380.19 | $436.52 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $380.19 Typical High $436.52 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $380.19 | $436.52 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $380.19 Typical High $436.52 | Professional | AS · PA/NP assist | $331.13 | $380.19 | $436.52 |
Where South Carolina sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 15th of 51
$1,950
AK $3,020NE $302
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.