How much rates vary
Facilitymedian $3,631 · 10th to 90th $603 to $7,943Professionalmedian $138 · 10th to 90th $105 to $191
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 $144.54 Median $5,623.41 Typical High $21,877.62 | Facility | None | $144.54 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | None | $120.23 | $144.54 | $144.54 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,621.81 | Facility | None | $602.56 | $831.76 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None | $125.89 | $125.89 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $1,096.48 Typical High $1,737.80 | Facility | None | $144.54 | $1,096.48 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $165.96 | Professional | None | $114.82 | $144.54 | $165.96 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | None | $25.70 | $32.36 | $32.36 |
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 $104.71 Median $125.89 Typical High $213.80 | Professional | None | $104.71 | $125.89 | $213.80 |
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 $60.26 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $60.26 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $18.20 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.02 | $14.45 | $14.45 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | 51 · Multiple procedures | $57.54 | $74.13 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $29.51 Typical High $35.48 | Professional | 80 · Assistant surgeon | $22.91 | $29.51 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $20.89 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $16.22 | $20.89 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $20.89 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $20.89 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $20.89 Typical High $24.55 | Professional | AS · PA/NP assist | $16.22 | $20.89 | $24.55 |
Where South Carolina sits
The same service costs 6.0 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· 30th of 51
$145
AK $501KY $83.18
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.