How much rates vary
Facilitymedian $4,467 · 10th to 90th $363 to $10,233Professionalmedian $229 · 10th to 90th $107 to $407
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 $229.09 Median $4,897.79 Typical High $21,877.62 | Facility | None | $229.09 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $363.08 | Professional | None | $213.80 | $269.15 | $363.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $11,748.98 | Facility | None | $3,890.45 | $6,760.83 | $11,748.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $295.12 | Professional | None | $107.15 | $181.97 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $741.31 | Facility | None | $302.00 | $436.52 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $407.38 | Professional | None | $162.18 | $208.93 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $758.58 | Professional | None | $213.80 | $229.09 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $363.08 Typical High $724.44 | Facility | None | $141.25 | $363.08 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $346.74 | Professional | None | $151.36 | $281.84 | $346.74 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $281.84 Typical High $467.74 | Professional | None | $37.15 | $281.84 | $467.74 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $363.08 | Professional | None | $162.18 | $223.87 | $363.08 |
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 $109.65 Median $134.90 Typical High $181.97 | Professional | 52 · Reduced service | $109.65 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $72.44 | Professional | 53 · Discontinued | $43.65 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $199.53 Typical High $269.15 | Professional | 54 · Surgery only | $162.18 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $39.81 Typical High $54.95 | Professional | 55 · Aftercare only | $32.36 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $26.92 Typical High $36.31 | Professional | 56 · Pre-op care only | $21.88 | $26.92 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $186.21 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $151.36 | $186.21 | $251.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $141.25 Typical High $218.78 | Professional | 51 · Multiple procedures | $75.86 | $141.25 | $218.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $56.23 Typical High $87.10 | Professional | 80 · Assistant surgeon | $30.90 | $56.23 | $87.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $39.81 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $21.38 | $39.81 | $61.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $39.81 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $39.81 | $61.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $39.81 Typical High $61.66 | Professional | AS · PA/NP assist | $21.38 | $39.81 | $61.66 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 40th of 51
$234
AK $794KY $178
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.