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 $446.68 Median $4,897.79 Typical High $21,877.62 | Facility | None | $446.68 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $1,071.52 | Professional | None | $436.52 | $741.31 | $1,071.52 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,000.00 Median $2,691.53 Typical High $9,332.54 | Facility | None | $1,000.00 | $2,691.53 | $9,332.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $338.84 Median $851.14 Typical High $3,235.94 | Professional | None | $338.84 | $851.14 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $2,089.30 | Facility | None | $602.56 | $1,000.00 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $954.99 Typical High $3,311.31 | Professional | None | $446.68 | $954.99 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $4,265.80 | Professional | None | $2,398.83 | $3,890.45 | $4,265.80 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $2,398.83 | Facility | None | $446.68 | $724.44 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $3,548.13 Typical High $3,715.35 | Professional | None | $1,047.13 | $3,548.13 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,621.81 | Professional | None | $812.83 | $1,071.52 | $1,621.81 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $346.74 Median $776.25 Typical High $3,981.07 | Professional | None | $346.74 | $776.25 | $3,981.07 |
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 $323.59 Median $602.56 Typical High $794.33 | Professional | 54 · Surgery only | $323.59 | $602.56 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $562.34 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $302.00 | $562.34 | $741.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $1,778.28 Typical High $1,862.09 | Professional | 51 · Multiple procedures | $645.65 | $1,778.28 | $1,862.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $707.95 Typical High $741.31 | Professional | 80 · Assistant surgeon | $257.04 | $707.95 | $741.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $501.19 Typical High $524.81 | Professional | 81 · Minimal assistant surgeon | $181.97 | $501.19 | $524.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $501.19 Typical High $524.81 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $501.19 | $524.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $501.19 Typical High $524.81 | Professional | AS · PA/NP assist | $181.97 | $501.19 | $524.81 |
Where South Carolina sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 18th of 51
$977
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.