How much rates vary
Facilitymedian $1,698 · 10th to 90th $525 to $7,762Professionalmedian $724 · 10th to 90th $479 to $1,023
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 $5,623.41 Typical High $21,877.62 | Facility | None | $676.08 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $676.08 | Professional | None | $549.54 | $676.08 | $676.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $7,585.78 | Facility | None | $512.86 | $1,949.84 | $7,585.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $1,230.27 | Professional | None | $478.63 | $794.33 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,370.32 Typical High $7,585.78 | Facility | None | $602.56 | $5,370.32 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $1,202.26 | Professional | None | $645.65 | $660.69 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,513.56 | Facility | None | $630.96 | $1,071.52 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $891.25 | Professional | None | $645.65 | $741.31 | $891.25 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $977.24 | Professional | None | $501.19 | $691.83 | $977.24 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,174.90 | Professional | None | $537.03 | $691.83 | $1,174.90 |
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 $275.42 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $109.65 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $407.38 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $81.28 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $54.95 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,148.15 Typical High $1,584.89 | Professional | 50 · Both sides | $1,071.52 | $1,148.15 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $354.81 Median $389.05 Typical High $524.81 | Professional | 51 · Multiple procedures | $354.81 | $389.05 | $524.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $154.88 Typical High $199.53 | Professional | 80 · Assistant surgeon | $144.54 | $154.88 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $107.15 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $100.00 | $107.15 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $107.15 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $107.15 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $107.15 Typical High $138.04 | Professional | AS · PA/NP assist | $100.00 | $107.15 | $138.04 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska than in New York. 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· 31st of 51
$794
AK $2,239NY $575
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.