How much rates vary
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 $794.33 Median $5,888.44 Typical High $21,877.62 | Facility | None | $794.33 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $794.33 | Professional | None | $660.69 | $794.33 | $794.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,000.00 Typical High $3,311.31 | Facility | None | $512.86 | $1,000.00 | $3,311.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $724.44 | Professional | None | $524.81 | $588.84 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,168.69 Typical High $5,888.44 | Facility | None | $602.56 | $4,168.69 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,071.52 | Professional | None | $691.83 | $691.83 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,621.81 | Professional | None | $794.33 | $851.14 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,819.70 | Facility | None | $724.44 | $724.44 | $1,819.70 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $831.76 | Professional | None | $741.31 | $758.58 | $831.76 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $512.86 Typical High $933.25 | Professional | None | $79.43 | $512.86 | $933.25 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,148.15 | Professional | None | $537.03 | $660.69 | $1,148.15 |
7 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 54 · Surgery only Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $489.78 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $457.09 | $549.54 | $549.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $380.19 Typical High $478.63 | Professional | 51 · Multiple procedures | $371.54 | $380.19 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $151.36 Typical High $190.55 | Professional | 80 · Assistant surgeon | $147.91 | $151.36 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $104.71 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $102.33 | $104.71 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $104.71 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $104.71 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $104.71 Typical High $131.83 | Professional | AS · PA/NP assist | $102.33 | $104.71 | $131.83 |
Where South Carolina sits
The same service costs 24.0 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· 42nd of 51
$646
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.