How much rates vary
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 $676.08 Median $15,135.61 Typical High $24,547.09 | Facility | None | $676.08 | $15,135.61 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $676.08 | Professional | None | $562.34 | $676.08 | $676.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,862.09 Median $5,495.41 Typical High $15,488.17 | Facility | None | $1,862.09 | $5,495.41 | $15,488.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $467.74 | Professional | None | $354.81 | $389.05 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,623.41 Typical High $7,762.47 | Facility | None | $602.56 | $5,623.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $1,479.11 | Professional | None | $602.56 | $616.60 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $5,128.61 | Facility | None | $676.08 | $812.83 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $741.31 | Professional | None | $537.03 | $724.44 | $741.31 |
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 $302.00 Median $446.68 Typical High $2,137.96 | Professional | None | $302.00 | $446.68 | $2,137.96 |
7 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 54 · Surgery only Typical Low $426.58 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $426.58 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $398.11 | $478.63 | $478.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $363.08 Typical High $407.38 | Professional | 51 · Multiple procedures | $269.15 | $363.08 | $407.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $144.54 Typical High $162.18 | Professional | 80 · Assistant surgeon | $107.15 | $144.54 | $162.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $102.33 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $74.13 | $102.33 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $102.33 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $102.33 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $102.33 Typical High $114.82 | Professional | AS · PA/NP assist | $74.13 | $102.33 | $114.82 |
Where South Carolina sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 33rd of 51
$661
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.