How much rates vary
Facilitymedian $851 · 10th to 90th $363 to $8,511Professionalmedian $257 · 10th to 90th $209 to $363
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 $281.84 Median $9,120.11 Typical High $22,908.68 | Facility | None | $281.84 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | None | $239.88 | $281.84 | $281.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | None | $208.93 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,905.46 | Facility | None | $588.84 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $398.11 | Professional | None | $257.04 | $263.03 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $562.34 | Professional | None | $338.84 | $363.08 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $724.44 Typical High $724.44 | Facility | None | $223.87 | $724.44 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $323.59 | Professional | None | $245.47 | $295.12 | $323.59 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $380.19 | Professional | None | $186.21 | $245.47 | $380.19 |
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 $204.17 Median $245.47 Typical High $436.52 | Professional | None | $204.17 | $245.47 | $436.52 |
10 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 $120.23 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $47.86 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 54 · Surgery only | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $35.48 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.99 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $162.18 Typical High $173.78 | Professional | 51 · Multiple procedures | $123.03 | $162.18 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $64.57 Typical High $69.18 | Professional | 80 · Assistant surgeon | $48.98 | $64.57 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $45.71 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $33.88 | $45.71 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $45.71 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $45.71 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $45.71 Typical High $47.86 | Professional | AS · PA/NP assist | $33.88 | $45.71 | $47.86 |
Where South Carolina sits
The same service costs 5.0 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· 37th of 51
$257
AK $977UT $195
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.