How much rates vary
Facilitymedian $1,778 · 10th to 90th $631 to $10,000Professionalmedian $282 · 10th to 90th $219 to $380
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 $288.40 Median $5,623.41 Typical High $21,877.62 | Facility | None | $288.40 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | None | $239.88 | $288.40 | $288.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $3,630.78 | Facility | None | $1,202.26 | $2,041.74 | $3,630.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,584.89 Typical High $2,290.87 | Facility | None | $457.09 | $1,584.89 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $407.38 | Professional | None | $251.19 | $257.04 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $724.44 Typical High $1,288.25 | Facility | None | $288.40 | $724.44 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $331.13 | Professional | None | $281.84 | $288.40 | $331.13 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | None | $112.20 | $112.20 | $117.49 |
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 $208.93 Median $251.19 Typical High $426.58 | Professional | None | $208.93 | $251.19 | $426.58 |
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 $120.23 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | 54 · Surgery only | $181.97 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $23.99 | $28.84 | $28.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $151.36 Typical High $177.83 | Professional | 51 · Multiple procedures | $141.25 | $151.36 | $177.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $60.26 Typical High $70.79 | Professional | 80 · Assistant surgeon | $56.23 | $60.26 | $70.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $41.69 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $39.81 | $41.69 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $41.69 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $41.69 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $41.69 Typical High $48.98 | Professional | AS · PA/NP assist | $39.81 | $41.69 | $48.98 |
Where South Carolina sits
The same service costs 4.6 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· 34th of 51
$288
AK $1,000FL $219
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.