How much rates vary
Facilitymedian $3,236 · 10th to 90th $676 to $17,783Professionalmedian $1,549 · 10th to 90th $209 to $2,570
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 $2,089.30 Median $5,888.44 Typical High $21,877.62 | Facility | None | $2,089.30 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,698.24 | $2,089.30 | $2,089.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $2,951.21 Typical High $17,378.01 | Facility | None | $691.83 | $2,951.21 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,479.11 | $1,513.56 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,995.26 Typical High $4,677.35 | Facility | None | $602.56 | $1,995.26 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,778.28 | $1,819.70 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $3,890.45 | Facility | None | $588.84 | $1,096.48 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,698.24 | $1,949.84 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $1,380.38 Typical High $2,570.40 | Professional | None | $199.53 | $1,380.38 | $2,570.40 |
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 $1,621.81 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,041.74 | $3,467.37 |
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 $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $851.14 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $338.84 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,288.25 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $257.04 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $169.82 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,445.44 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $870.96 Median $977.24 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $870.96 | $977.24 | $1,584.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $389.05 Typical High $616.60 | Professional | 80 · Assistant surgeon | $346.74 | $389.05 | $616.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $245.47 Median $275.42 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $245.47 | $275.42 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $245.47 Median $275.42 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $245.47 | $275.42 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $275.42 Typical High $426.58 | Professional | AS · PA/NP assist | $245.47 | $275.42 | $426.58 |
Where South Carolina sits
The same service costs 7.1 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· 47th of 51
$1,585
AK $7,079TX $1,000
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.