How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,445 to $16,596Professionalmedian $1,047 · 10th to 90th $135 to $1,778
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 $1,445.44 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,445.44 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,174.90 | $1,445.44 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $11,748.98 | Facility | None | $1,778.28 | $2,951.21 | $11,748.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,445.44 | Professional | None | $794.33 | $1,047.13 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,235.94 Typical High $4,677.35 | Facility | None | $602.56 | $3,235.94 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,230.27 | $2,454.71 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $1,445.44 Typical High $5,248.07 | Facility | None | $794.33 | $1,445.44 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $2,344.23 | Professional | None | $1,230.27 | $1,288.25 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $954.99 Typical High $1,778.28 | Professional | None | $125.89 | $954.99 | $1,778.28 |
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 $977.24 Median $1,318.26 Typical High $2,290.87 | Professional | None | $977.24 | $1,318.26 | $2,290.87 |
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 $588.84 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $588.84 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $239.88 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $891.25 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $831.76 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $645.65 Typical High $1,174.90 | Professional | 51 · Multiple procedures | $616.60 | $645.65 | $1,174.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $257.04 Typical High $467.74 | Professional | 80 · Assistant surgeon | $245.47 | $257.04 | $467.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $177.83 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $173.78 | $177.83 | $331.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $177.83 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $177.83 | $331.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $177.83 Typical High $331.13 | Professional | AS · PA/NP assist | $173.78 | $177.83 | $331.13 |
Where South Carolina sits
The same service costs 6.5 times more in Alaska than in Texas. 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· 44th of 51
$1,148
AK $4,898TX $759
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.