How much rates vary
Facilitymedian $3,631 · 10th to 90th $331 to $7,943Professionalmedian $324 · 10th to 90th $186 to $525
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 $263.03 Median $4,897.79 Typical High $21,877.62 | Facility | None | $263.03 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $416.87 | Professional | None | $251.19 | $316.23 | $416.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $8,128.31 | Facility | None | $2,691.53 | $4,677.35 | $8,128.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $371.54 | Professional | None | $190.55 | $309.03 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $1,318.26 | Facility | None | $295.12 | $549.54 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $457.09 | Professional | None | $234.42 | $309.03 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $831.76 | Professional | None | $407.38 | $436.52 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $331.13 Typical High $457.09 | Facility | None | $234.42 | $331.13 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $398.11 | Professional | None | $309.03 | $389.05 | $398.11 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $371.54 Typical High $630.96 | Professional | None | $37.15 | $371.54 | $630.96 |
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 $204.17 Median $309.03 Typical High $478.63 | Professional | None | $204.17 | $309.03 | $478.63 |
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 $125.89 Median $158.49 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $63.10 Typical High $83.18 | Professional | 53 · Discontinued | $50.12 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $239.88 Typical High $309.03 | Professional | 54 · Surgery only | $190.55 | $239.88 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $47.86 Typical High $61.66 | Professional | 55 · Aftercare only | $38.02 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $31.62 Typical High $41.69 | Professional | 56 · Pre-op care only | $25.12 | $31.62 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $223.87 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $177.83 | $223.87 | $288.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $194.98 Typical High $251.19 | Professional | 51 · Multiple procedures | $154.88 | $194.98 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $77.62 Typical High $100.00 | Professional | 80 · Assistant surgeon | $61.66 | $77.62 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $43.65 | $53.70 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $53.70 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | AS · PA/NP assist | $43.65 | $53.70 | $70.79 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska than in New Jersey. 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· 33rd of 51
$331
AK $912NJ $251
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.