How much rates vary
Facilitymedian $851 · 10th to 90th $417 to $8,318Professionalmedian $447 · 10th to 90th $331 to $631
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 $446.68 Median $9,120.11 Typical High $22,908.68 | Facility | None | $446.68 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | None | $380.19 | $446.68 | $446.68 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
BCBS South Carolina Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $478.63 | Professional | None | $331.13 | $446.68 | $478.63 |
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 $398.11 Median $407.38 Typical High $630.96 | Professional | None | $398.11 | $407.38 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $891.25 | Professional | None | $537.03 | $575.44 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $724.44 Typical High $724.44 | Facility | None | $389.05 | $724.44 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $602.56 | Professional | None | $436.52 | $478.63 | $602.56 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $691.83 | Professional | None | $338.84 | $446.68 | $691.83 |
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 $323.59 Median $389.05 Typical High $676.08 | Professional | None | $323.59 | $389.05 | $676.08 |
8 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 $281.84 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $281.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.02 | $44.67 | $44.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $263.03 Typical High $295.12 | Professional | 51 · Multiple procedures | $234.42 | $263.03 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $104.71 Typical High $120.23 | Professional | 80 · Assistant surgeon | $93.33 | $104.71 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $66.07 | $72.44 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $72.44 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | AS · PA/NP assist | $66.07 | $72.44 | $83.18 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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
$447
AK $1,514NJ $347
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.