How much rates vary
Facilitymedian $1,995 · 10th to 90th $933 to $14,791Professionalmedian $676 · 10th to 90th $417 to $1,000
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 $707.95 Median $9,120.11 Typical High $22,908.68 | Facility | None | $707.95 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $707.95 | Professional | None | $575.44 | $707.95 | $707.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,000.00 Median $1,905.46 Typical High $13,489.63 | Facility | None | $1,000.00 | $1,905.46 | $13,489.63 |
BCBS South Carolina Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $1,174.90 | Professional | None | $512.86 | $776.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,905.46 | Facility | None | $602.56 | $1,122.02 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $1,258.93 | Professional | None | $645.65 | $660.69 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $707.95 Typical High $1,778.28 | Facility | None | $489.78 | $707.95 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,230.27 | Professional | None | $660.69 | $776.25 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $630.96 Typical High $954.99 | Professional | None | $66.07 | $630.96 | $954.99 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $21,379.62 | Facility | None | $1,445.44 | $4,265.80 | $21,379.62 |
United Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,202.26 | Professional | None | $562.34 | $707.95 | $1,202.26 |
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 $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $281.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $426.58 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $57.54 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $398.11 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $389.05 Typical High $616.60 | Professional | 51 · Multiple procedures | $331.13 | $389.05 | $616.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $154.88 Typical High $245.47 | Professional | 80 · Assistant surgeon | $134.90 | $154.88 | $245.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $109.65 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $93.33 | $109.65 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $109.65 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $109.65 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $109.65 Typical High $169.82 | Professional | AS · PA/NP assist | $93.33 | $109.65 | $169.82 |
Where South Carolina sits
The same service costs 5.2 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· 38th of 51
$759
AK $2,344UT $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.