How much rates vary
Facilitymedian $708 · 10th to 90th $151 to $1,995Professionalmedian $162 · 10th to 90th $129 to $240
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 $239.88 Median $5,623.41 Typical High $21,877.62 | Facility | None | $239.88 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $239.88 | Professional | None | $169.82 | $239.88 | $239.88 |
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 $141.25 Median $162.18 Typical High $213.80 | Professional | None | $141.25 | $162.18 | $213.80 |
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 $128.82 Median $131.83 Typical High $275.42 | Professional | None | $128.82 | $131.83 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $389.05 | Professional | None | $162.18 | $173.78 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $251.19 Typical High $323.59 | Facility | None | $123.03 | $251.19 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $263.03 | Professional | None | $151.36 | $186.21 | $263.03 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | None | $128.82 | $165.96 | $257.04 |
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 $117.49 Median $169.82 Typical High $239.88 | Professional | None | $117.49 | $169.82 | $239.88 |
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 $85.11 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $85.11 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $33.88 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $125.89 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $25.70 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $16.98 | $23.99 | $23.99 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $93.33 Typical High $144.54 | Professional | 51 · Multiple procedures | $74.13 | $93.33 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $37.15 Typical High $57.54 | Professional | 80 · Assistant surgeon | $30.20 | $37.15 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $26.30 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $20.89 | $26.30 | $40.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $26.30 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $26.30 | $40.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $26.30 Typical High $40.74 | Professional | AS · PA/NP assist | $20.89 | $26.30 | $40.74 |
Where South Carolina sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 42nd of 51
$170
AK $603UT $132
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.