How much rates vary
Facilitymedian $912 · 10th to 90th $457 to $8,318Professionalmedian $2,754 · 10th to 90th $437 to $4,266
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 $3,311.31 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,311.31 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,754.23 | $3,311.31 | $3,311.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,884.03 | Professional | None | $2,454.71 | $2,570.40 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,344.23 | $2,884.03 | $4,570.88 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,570.40 Typical High $6,606.93 | Professional | None | $2,398.83 | $2,570.40 | $6,606.93 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $4,466.84 | Facility | None | $724.44 | $724.44 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $3,715.35 | Professional | None | $2,290.87 | $3,235.94 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $2,630.27 Typical High $4,365.16 | Professional | None | $309.03 | $2,630.27 | $4,365.16 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $5,011.87 | Professional | None | $2,398.83 | $2,754.23 | $5,011.87 |
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 $1,380.38 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,380.38 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $549.54 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,089.30 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $275.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,344.23 | $2,344.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,148.15 Median $1,778.28 Typical High $1,995.26 | Professional | 51 · Multiple procedures | $1,148.15 | $1,778.28 | $1,995.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $457.09 Median $707.95 Typical High $812.83 | Professional | 80 · Assistant surgeon | $457.09 | $707.95 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $316.23 Median $501.19 Typical High $562.34 | Professional | 81 · Minimal assistant surgeon | $316.23 | $501.19 | $562.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $316.23 Median $501.19 Typical High $562.34 | Professional | 82 · Assistant surgeon, no resident | $316.23 | $501.19 | $562.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $316.23 Median $501.19 Typical High $562.34 | Professional | AS · PA/NP assist | $316.23 | $501.19 | $562.34 |
Where South Carolina sits
The same service costs 5.1 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· 42nd of 51
$2,754
AK $9,772TX $1,905
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.