How much rates vary
Facilitymedian $708 · 10th to 90th $115 to $1,995Professionalmedian $66 · 10th to 90th $42 to $102
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 $70.79 Median $4,897.79 Typical High $21,877.62 | Facility | None | $70.79 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $70.79 | Professional | None | $51.29 | $70.79 | $70.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $1,548.82 | Facility | None | $537.03 | $912.01 | $1,548.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $41.69 Median $95.50 Typical High $102.33 | Professional | None | $41.69 | $95.50 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $741.31 | Facility | None | $275.42 | $436.52 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $87.10 | Professional | None | $56.23 | $58.88 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $117.49 | Professional | None | $74.13 | $79.43 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $186.21 Typical High $251.19 | Facility | None | $64.57 | $186.21 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $102.33 | Professional | None | $57.54 | $69.18 | $102.33 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $66.07 | Professional | None | $33.11 | $42.66 | $66.07 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,344.23 | Facility | None | $83.18 | $446.68 | $2,344.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $93.33 | Professional | None | $43.65 | $54.95 | $93.33 |
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 $25.12 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $25.12 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $10.00 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | 54 · Surgery only | $38.02 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $7.59 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.01 | $7.08 | $7.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $36.31 Typical High $54.95 | Professional | 51 · Multiple procedures | $33.11 | $36.31 | $54.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $14.45 Typical High $21.88 | Professional | 80 · Assistant surgeon | $13.18 | $14.45 | $21.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $10.23 Typical High $15.49 | Professional | 81 · Minimal assistant surgeon | $9.33 | $10.23 | $15.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $10.23 Typical High $15.49 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $10.23 | $15.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $10.23 Typical High $15.49 | Professional | AS · PA/NP assist | $9.33 | $10.23 | $15.49 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 27th of 51
$70.79
AK $200FL $47.86
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.