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 $389.05 Median $5,623.41 Typical High $21,877.62 | Facility | None | $389.05 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $389.05 | Professional | None | $323.59 | $389.05 | $389.05 |
BCBS South Carolina Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $1,995.26 | Facility | None | $831.76 | $1,380.38 | $1,995.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $338.84 | Professional | None | $302.00 | $316.23 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,230.27 Typical High $1,737.80 | Facility | None | $457.09 | $1,230.27 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $537.03 | Professional | None | $309.03 | $316.23 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $776.25 | Professional | None | $380.19 | $407.38 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $724.44 Typical High $912.01 | Facility | None | $363.08 | $724.44 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $416.87 | Professional | None | $363.08 | $380.19 | $416.87 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $562.34 | Professional | None | $263.03 | $363.08 | $562.34 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $537.03 | Professional | None | $263.03 | $323.59 | $537.03 |
6 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 78 · Unplanned return to OR Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $229.09 | $275.42 | $275.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $181.97 Median $194.98 Typical High $234.42 | Professional | 51 · Multiple procedures | $181.97 | $194.98 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $77.62 Typical High $95.50 | Professional | 80 · Assistant surgeon | $72.44 | $77.62 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $53.70 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $51.29 | $53.70 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $53.70 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $53.70 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $53.70 Typical High $66.07 | Professional | AS · PA/NP assist | $51.29 | $53.70 | $66.07 |
Where South Carolina sits
The same service costs 5.2 times more in Alaska than in Utah. 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
$363
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.