How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,288 to $17,783Professionalmedian $955 · 10th to 90th $110 to $1,380
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 $1,148.15 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,148.15 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | None | $933.25 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,584.89 Median $5,495.41 Typical High $17,378.01 | Facility | None | $1,584.89 | $5,495.41 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,071.52 | Professional | None | $831.76 | $933.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,659.59 Typical High $2,691.53 | Facility | None | $630.96 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,548.82 | Professional | None | $954.99 | $1,000.00 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,230.27 | $1,318.26 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $2,344.23 | Facility | None | $851.14 | $1,148.15 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,148.15 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $831.76 Typical High $1,380.38 | Professional | None | $75.86 | $831.76 | $1,380.38 |
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 $812.83 Median $977.24 Typical High $1,698.24 | Professional | None | $812.83 | $977.24 | $1,698.24 |
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 $467.74 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $707.95 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $141.25 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $93.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $660.69 | $794.33 | $794.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $549.54 Median $602.56 Typical High $831.76 | Professional | 51 · Multiple procedures | $549.54 | $602.56 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $239.88 Typical High $331.13 | Professional | 80 · Assistant surgeon | $218.78 | $239.88 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $165.96 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $151.36 | $165.96 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $165.96 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $151.36 | $165.96 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $165.96 Typical High $229.09 | Professional | AS · PA/NP assist | $151.36 | $165.96 | $229.09 |
Where South Carolina sits
The same service costs 6.2 times more in Alaska than in Texas. 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· 41st of 51
$955
AK $3,802TX $617
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.