How much rates vary
Facilitymedian $794 · 10th to 90th $389 to $3,467Professionalmedian $692 · 10th to 90th $447 to $933
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 $645.65 Median $5,623.41 Typical High $21,877.62 | Facility | None | $645.65 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | None | $512.86 | $645.65 | $645.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $870.96 Typical High $2,884.03 | Facility | None | $501.19 | $870.96 | $2,884.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $1,122.02 | Professional | None | $446.68 | $724.44 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $776.25 | Facility | None | $346.74 | $457.09 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $1,148.15 | Professional | None | $602.56 | $616.60 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $489.78 Typical High $707.95 | Facility | None | $316.23 | $489.78 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $794.33 | Professional | None | $537.03 | $707.95 | $794.33 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $912.01 | Professional | None | $467.74 | $645.65 | $912.01 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,025.60 | Facility | None | $302.00 | $1,122.02 | $6,025.60 |
United Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,096.48 | Professional | None | $512.86 | $660.69 | $1,096.48 |
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 $257.04 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $257.04 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $102.33 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $389.05 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $51.29 | $64.57 | $64.57 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $1,096.48 Typical High $1,412.54 | Professional | 50 · Both sides | $977.24 | $1,096.48 | $1,412.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $363.08 Typical High $467.74 | Professional | 51 · Multiple procedures | $323.59 | $363.08 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $144.54 Typical High $186.21 | Professional | 80 · Assistant surgeon | $134.90 | $144.54 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $102.33 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $95.50 | $102.33 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $102.33 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $102.33 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $102.33 Typical High $131.83 | Professional | AS · PA/NP assist | $95.50 | $102.33 | $131.83 |
Where South Carolina sits
The same service costs 4.0 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· 28th of 51
$724
AK $2,089UT $525
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.