How much rates vary
Facilitymedian $1,698 · 10th to 90th $631 to $9,550Professionalmedian $219 · 10th to 90th $138 to $363
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 $154.88 Median $5,623.41 Typical High $21,877.62 | Facility | None | $154.88 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $257.04 | Professional | None | $154.88 | $194.98 | $257.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $1,737.80 Typical High $8,128.31 | Facility | None | $691.83 | $1,737.80 | $8,128.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $109.65 Median $204.17 Typical High $257.04 | Professional | None | $109.65 | $204.17 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,862.09 Typical High $2,570.40 | Facility | None | $602.56 | $1,862.09 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $398.11 | Professional | None | $141.25 | $218.78 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $588.84 Typical High $954.99 | Facility | None | $154.88 | $588.84 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $309.03 | Professional | None | $218.78 | $257.04 | $309.03 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $380.19 | Professional | None | $190.55 | $275.42 | $380.19 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $346.74 | Professional | None | $123.03 | $204.17 | $346.74 |
10 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 $77.62 Median $79.43 Typical High $128.82 | Professional | 52 · Reduced service | $77.62 | $79.43 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $51.29 | Professional | 53 · Discontinued | $30.90 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $117.49 Typical High $194.98 | Professional | 54 · Surgery only | $114.82 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.44 Typical High $38.90 | Professional | 55 · Aftercare only | $22.91 | $23.44 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.85 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.49 | $15.85 | $25.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $147.91 Typical High $190.55 | Professional | 51 · Multiple procedures | $107.15 | $147.91 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $53.70 Typical High $75.86 | Professional | 80 · Assistant surgeon | $43.65 | $53.70 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $37.15 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $30.20 | $37.15 | $53.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $37.15 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $37.15 | $53.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $37.15 Typical High $53.70 | Professional | AS · PA/NP assist | $30.20 | $37.15 | $53.70 |
Where South Carolina sits
The same service costs 3.7 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· 28th of 51
$251
AK $708KY $191
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.