How much rates vary
Facilitymedian $1,000 · 10th to 90th $437 to $8,511Professionalmedian $1,072 · 10th to 90th $100 to $1,778
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 $1,318.26 Median $9,120.11 Typical High $22,908.68 | Facility | None | $1,318.26 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,949.84 | Professional | None | $977.24 | $1,288.25 | $1,949.84 |
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 $1,071.52 Median $1,174.90 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,174.90 | $2,344.23 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $1,318.26 Typical High $2,951.21 | Facility | None | $891.25 | $1,318.26 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,230.27 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $954.99 Typical High $1,737.80 | Professional | None | $87.10 | $954.99 | $1,737.80 |
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 $1,000.00 Median $1,258.93 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,258.93 | $2,187.76 |
12 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 $537.03 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $537.03 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $213.80 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $794.33 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $107.15 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $741.31 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $1,949.84 Typical High $2,884.03 | Professional | 50 · Both sides | $1,659.59 | $1,949.84 | $2,884.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $549.54 Median $645.65 Typical High $954.99 | Professional | 51 · Multiple procedures | $549.54 | $645.65 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $257.04 Typical High $380.19 | Professional | 80 · Assistant surgeon | $223.87 | $257.04 | $380.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $181.97 Typical High $269.15 | Professional | 81 · Minimal assistant surgeon | $154.88 | $181.97 | $269.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $181.97 Typical High $269.15 | Professional | 82 · Assistant surgeon, no resident | $154.88 | $181.97 | $269.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $181.97 Typical High $269.15 | Professional | AS · PA/NP assist | $154.88 | $181.97 | $269.15 |
Where South Carolina sits
The same service costs 6.6 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· 47th of 51
$1,072
AK $4,365TX $661
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.