How much rates vary
Facilitymedian $3,631 · 10th to 90th $479 to $14,791Professionalmedian $372 · 10th to 90th $229 to $692
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 $354.81 Median $549.54 Typical High $21,877.62 | Facility | None | $354.81 | $549.54 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $549.54 | Professional | None | $331.13 | $416.87 | $549.54 |
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 $239.88 Median $295.12 Typical High $478.63 | Professional | None | $239.88 | $295.12 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $1,318.26 | Facility | None | $446.68 | $602.56 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | None | $269.15 | $363.08 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $1,096.48 | Professional | None | $389.05 | $416.87 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $616.60 | Facility | None | $257.04 | $478.63 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $537.03 | Professional | None | $275.42 | $426.58 | $537.03 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $501.19 Typical High $831.76 | Professional | None | $37.15 | $501.19 | $831.76 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $21,379.62 | Facility | None | $1,445.44 | $4,265.80 | $21,379.62 |
United Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $588.84 | Professional | None | $257.04 | $371.54 | $588.84 |
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 $169.82 Median $199.53 Typical High $275.42 | Professional | 52 · Reduced service | $169.82 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $109.65 | Professional | 53 · Discontinued | $67.61 | $79.43 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $302.00 Typical High $416.87 | Professional | 54 · Surgery only | $251.19 | $302.00 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $60.26 Typical High $83.18 | Professional | 55 · Aftercare only | $50.12 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $39.81 Typical High $54.95 | Professional | 56 · Pre-op care only | $33.88 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $281.84 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $234.42 | $281.84 | $389.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $213.80 Typical High $331.13 | Professional | 51 · Multiple procedures | $138.04 | $213.80 | $331.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $85.11 Typical High $131.83 | Professional | 80 · Assistant surgeon | $54.95 | $85.11 | $131.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $60.26 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $38.02 | $60.26 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $60.26 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $60.26 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $60.26 Typical High $93.33 | Professional | AS · PA/NP assist | $38.02 | $60.26 | $93.33 |
Where South Carolina sits
The same service costs 4.3 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· 37th of 51
$389
AK $1,259KY $295
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.