How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,096 to $10,965Professionalmedian $468 · 10th to 90th $347 to $708
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 $537.03 Median $9,120.11 Typical High $22,908.68 | Facility | None | $537.03 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | None | $436.52 | $537.03 | $537.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $3,630.78 Typical High $10,232.93 | Facility | None | $1,905.46 | $3,630.78 | $10,232.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $645.65 | Professional | None | $363.08 | $371.54 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,311.31 Typical High $4,677.35 | Facility | None | $602.56 | $3,311.31 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $933.25 | Professional | None | $281.84 | $346.74 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $537.03 Typical High $5,248.07 | Facility | None | $251.19 | $537.03 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $630.96 | Professional | None | $331.13 | $407.38 | $630.96 |
Molina Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $707.95 | Professional | None | $363.08 | $512.86 | $707.95 |
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 $269.15 Median $436.52 Typical High $812.83 | Professional | None | $269.15 | $436.52 | $812.83 |
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 $218.78 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $218.78 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $331.13 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $43.65 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $204.17 Typical High $398.11 | Professional | 51 · Multiple procedures | $165.96 | $204.17 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $81.28 Typical High $158.49 | Professional | 80 · Assistant surgeon | $66.07 | $81.28 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $56.23 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $46.77 | $56.23 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $56.23 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $56.23 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $56.23 Typical High $112.20 | Professional | AS · PA/NP assist | $46.77 | $56.23 | $112.20 |
Where South Carolina sits
The same service costs 5.2 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· 30th of 51
$575
AK $1,820KY $347
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.