How much rates vary
Facilitymedian $1,622 · 10th to 90th $676 to $10,471Professionalmedian $589 · 10th to 90th $107 to $912
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 $5,888.44 Typical High $21,877.62 | Facility | None | $676.08 | $5,888.44 | $21,877.62 |
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 $691.83 Median $1,659.59 Typical High $9,772.37 | Facility | None | $691.83 | $1,659.59 | $9,772.37 |
BCBS South Carolina Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $691.83 | Professional | None | $537.03 | $588.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,548.82 Typical High $2,187.76 | Facility | None | $602.56 | $1,548.82 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $912.01 | Professional | None | $501.19 | $512.86 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,318.26 | Professional | None | $602.56 | $645.65 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $691.83 Typical High $1,548.82 | Facility | None | $537.03 | $691.83 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $794.33 | Professional | None | $562.34 | $630.96 | $794.33 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $575.44 Typical High $954.99 | Professional | None | $75.86 | $575.44 | $954.99 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $891.25 | Professional | None | $446.68 | $549.54 | $891.25 |
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 $281.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $281.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $85.11 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $389.05 | $467.74 | $467.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $316.23 Typical High $457.09 | Professional | 51 · Multiple procedures | $281.84 | $316.23 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $125.89 Typical High $181.97 | Professional | 80 · Assistant surgeon | $112.20 | $125.89 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $87.10 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $77.62 | $87.10 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $87.10 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $87.10 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $87.10 Typical High $125.89 | Professional | AS · PA/NP assist | $77.62 | $87.10 | $125.89 |
Where South Carolina sits
The same service costs 5.5 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· 36th of 51
$617
AK $2,344TX $427
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.