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 $489.78 Median $15,135.61 Typical High $24,547.09 | Facility | None | $489.78 | $15,135.61 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | None | $407.38 | $489.78 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $5,495.41 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,495.41 | $9,549.93 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $457.09 | Professional | None | $371.54 | $426.58 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $676.08 | Professional | None | $426.58 | $426.58 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $954.99 | Professional | None | $549.54 | $588.84 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $4,466.84 Typical High $4,466.84 | Facility | None | $537.03 | $4,466.84 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $562.34 | Professional | None | $467.74 | $501.19 | $562.34 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $416.87 Typical High $676.08 | Professional | None | $58.88 | $416.87 | $676.08 |
United Setting Facility Modifier None Typical Low $11,481.54 Median $17,782.79 Typical High $26,915.35 | Facility | None | $11,481.54 | $17,782.79 | $26,915.35 |
United Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $724.44 | Professional | None | $346.74 | $426.58 | $724.44 |
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 $309.03 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $309.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $338.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $288.40 | $338.84 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $257.04 Typical High $295.12 | Professional | 51 · Multiple procedures | $251.19 | $257.04 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $104.71 Typical High $117.49 | Professional | 80 · Assistant surgeon | $100.00 | $104.71 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $72.44 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $69.18 | $72.44 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $72.44 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $72.44 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $72.44 Typical High $83.18 | Professional | AS · PA/NP assist | $69.18 | $72.44 | $83.18 |
Where South Carolina sits
The same service costs 4.4 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
$447
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.