How much rates vary
Facilitymedian $1,122 · 10th to 90th $83 to $5,888Professionalmedian $240 · 10th to 90th $52 to $562
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 $66.07 Median $4,265.80 Typical High $16,595.87 | Facility | None | $66.07 | $4,265.80 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $257.04 Typical High $380.19 | Professional | None | $51.29 | $257.04 | $380.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $67.61 Median $83.18 Typical High $794.33 | Facility | None | $67.61 | $83.18 | $794.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $588.84 | Professional | None | $40.74 | $79.43 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $208.93 Typical High $467.74 | Professional | None | $56.23 | $208.93 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $128.82 Typical High $467.74 | Facility | None | $53.70 | $128.82 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $575.44 | Professional | None | $234.42 | $416.87 | $575.44 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $436.52 | Professional | None | $229.09 | $309.03 | $436.52 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $2,951.21 | Facility | None | $446.68 | $1,621.81 | $2,951.21 |
United Setting Professional Modifier None Typical Low $47.86 Median $251.19 Typical High $562.34 | Professional | None | $47.86 | $251.19 | $562.34 |
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 $26.92 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $26.92 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $10.72 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $190.55 Typical High $263.03 | Professional | 54 · Surgery only | $40.74 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $38.90 Typical High $52.48 | Professional | 55 · Aftercare only | $8.13 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $25.70 Typical High $34.67 | Professional | 56 · Pre-op care only | $5.37 | $25.70 | $34.67 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $660.69 Typical High $1,023.29 | Professional | 50 · Both sides | $354.81 | $660.69 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $223.87 Typical High $338.84 | Professional | 51 · Multiple procedures | $117.49 | $223.87 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $89.13 Typical High $134.90 | Professional | 80 · Assistant surgeon | $46.77 | $89.13 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $61.66 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $33.11 | $61.66 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $61.66 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $61.66 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $61.66 Typical High $95.50 | Professional | AS · PA/NP assist | $33.11 | $61.66 | $95.50 |
Where South Carolina sits
The same service costs 4.9 times more in Iowa than in Nebraska. 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· 31st of 51
$251
IA $417NE $85.11
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.