How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,445 to $17,783Professionalmedian $741 · 10th to 90th $110 to $1,072
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 $831.76 Median $12,022.64 Typical High $21,877.62 | Facility | None | $831.76 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $831.76 | Professional | None | $691.83 | $831.76 | $831.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $5,495.41 Typical High $17,378.01 | Facility | None | $1,698.24 | $5,495.41 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $851.14 | Professional | None | $616.60 | $794.33 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,311.31 Typical High $4,677.35 | Facility | None | $630.96 | $3,311.31 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $1,148.15 | Professional | None | $741.31 | $758.58 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,621.81 | Professional | None | $912.01 | $977.24 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $3,311.31 | Facility | None | $831.76 | $1,445.44 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,096.48 | Professional | None | $794.33 | $851.14 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $630.96 Typical High $1,047.13 | Professional | None | $75.86 | $630.96 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $1,230.27 | Professional | None | $602.56 | $724.44 | $1,230.27 |
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 $346.74 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $512.86 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $102.33 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $478.63 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $436.52 Typical High $562.34 | Professional | 51 · Multiple procedures | $416.87 | $436.52 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $173.78 Typical High $223.87 | Professional | 80 · Assistant surgeon | $169.82 | $173.78 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $120.23 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $117.49 | $120.23 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $120.23 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $120.23 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $120.23 Typical High $154.88 | Professional | AS · PA/NP assist | $117.49 | $120.23 | $154.88 |
Where South Carolina sits
The same service costs 6.3 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· 35th of 51
$759
AK $2,884TX $457
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.