How much rates vary
Facilitymedian $977 · 10th to 90th $437 to $8,511Professionalmedian $794 · 10th to 90th $100 to $1,318
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 $977.24 Median $9,120.11 Typical High $22,908.68 | Facility | None | $977.24 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $977.24 | Professional | None | $794.33 | $977.24 | $977.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,584.89 | Professional | None | $758.58 | $1,202.26 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,659.59 | Professional | None | $851.14 | $954.99 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $977.24 Typical High $2,187.76 | Facility | None | $758.58 | $977.24 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,905.46 | Professional | None | $933.25 | $1,174.90 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $707.95 Typical High $1,288.25 | Professional | None | $87.10 | $707.95 | $1,288.25 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,659.59 | Professional | None | $758.58 | $954.99 | $1,659.59 |
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 $398.11 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $398.11 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $602.56 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $120.23 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $79.43 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $562.34 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $602.56 Typical High $954.99 | Professional | 51 · Multiple procedures | $524.81 | $602.56 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $239.88 Typical High $380.19 | Professional | 80 · Assistant surgeon | $208.93 | $239.88 | $380.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $169.82 Typical High $269.15 | Professional | 81 · Minimal assistant surgeon | $144.54 | $169.82 | $269.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $169.82 Typical High $269.15 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $169.82 | $269.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $169.82 Typical High $269.15 | Professional | AS · PA/NP assist | $144.54 | $169.82 | $269.15 |
Where South Carolina sits
The same service costs 6.2 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· 46th of 51
$813
AK $3,311TX $537
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.