How much rates vary
Facilitymedian $1,122 · 10th to 90th $437 to $8,511Professionalmedian $2,754 · 10th to 90th $417 to $4,677
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 $3,630.78 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,630.78 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,951.21 | $3,630.78 | $3,630.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,691.53 | $3,801.89 |
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 $2,187.76 Median $3,467.37 Typical High $6,456.54 | Professional | None | $2,187.76 | $3,467.37 | $6,456.54 |
Medcost Setting Facility Modifier None Typical Low $1,513.56 Median $3,630.78 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,630.78 | $8,128.31 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $3,981.07 | Professional | None | $2,454.71 | $3,162.28 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $2,511.89 Typical High $4,677.35 | Professional | None | $380.19 | $2,511.89 | $4,677.35 |
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 $2,691.53 Median $3,467.37 Typical High $6,165.95 | Professional | None | $2,691.53 | $3,467.37 | $6,165.95 |
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 $1,479.11 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,479.11 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $588.84 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $2,691.53 Typical High $2,691.53 | Professional | 54 · Surgery only | $2,238.72 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $446.68 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $295.12 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,511.89 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,511.89 | $2,511.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,548.82 Typical High $2,691.53 | Professional | 51 · Multiple procedures | $1,230.27 | $1,548.82 | $2,691.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $489.78 Median $630.96 Typical High $1,071.52 | Professional | 80 · Assistant surgeon | $489.78 | $630.96 | $1,071.52 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $338.84 Median $436.52 Typical High $741.31 | Professional | 81 · Minimal assistant surgeon | $338.84 | $436.52 | $741.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $338.84 Median $436.52 Typical High $741.31 | Professional | 82 · Assistant surgeon, no resident | $338.84 | $436.52 | $741.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $436.52 Typical High $741.31 | Professional | AS · PA/NP assist | $338.84 | $436.52 | $741.31 |
Where South Carolina sits
The same service costs 12.6 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
$2,692
AK $12,023TX $955
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.