How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,445 to $12,589Professionalmedian $1,698 · 10th to 90th $148 to $3,388
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 $218.78 Median $9,120.11 Typical High $21,877.62 | Facility | None | $218.78 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $1,548.82 Typical High $2,238.72 | Professional | None | $208.93 | $1,548.82 | $2,238.72 |
Ambetter Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $3,467.37 Typical High $10,964.78 | Facility | None | $1,778.28 | $3,467.37 | $10,964.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $138.04 Median $1,479.11 Typical High $1,995.26 | Professional | None | $138.04 | $1,479.11 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,862.09 Typical High $3,162.28 | Facility | None | $602.56 | $1,862.09 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $562.34 Typical High $4,786.30 | Professional | None | $257.04 | $562.34 | $4,786.30 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $1,949.84 Typical High $2,691.53 | Facility | None | $218.78 | $1,949.84 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $1,819.70 Median $5,128.61 Typical High $5,128.61 | Professional | None | $1,819.70 | $5,128.61 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,513.56 | $2,238.72 | $3,019.95 |
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 $173.78 Median $1,380.38 Typical High $5,623.41 | Professional | None | $173.78 | $1,380.38 | $5,623.41 |
7 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 $162.18 Median $165.96 Typical High $1,513.56 | Professional | 54 · Surgery only | $162.18 | $165.96 | $1,513.56 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,235.94 Median $7,585.78 Typical High $7,585.78 | Professional | 50 · Both sides | $3,235.94 | $7,585.78 | $7,585.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $2,511.89 Typical High $2,570.40 | Professional | 51 · Multiple procedures | $1,071.52 | $2,511.89 | $2,570.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $478.63 Median $1,023.29 Typical High $1,023.29 | Professional | 80 · Assistant surgeon | $478.63 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $707.95 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $331.13 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $707.95 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $707.95 | $707.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $707.95 Typical High $707.95 | Professional | AS · PA/NP assist | $331.13 | $707.95 | $707.95 |
Where South Carolina sits
The same service costs 10.5 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· 16th of 51
$1,950
AK $3,715NE $355
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.