How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,380 to $18,621Professionalmedian $676 · 10th to 90th $417 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 $707.95 Median $10,964.78 Typical High $21,877.62 | Facility | None | $707.95 | $10,964.78 | $21,877.62 |
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 $1,737.80 Median $4,570.88 Typical High $18,197.01 | Facility | None | $1,737.80 | $4,570.88 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $512.86 Median $1,000.00 Typical High $1,348.96 | Professional | None | $512.86 | $1,000.00 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,454.71 Typical High $3,548.13 | Facility | None | $602.56 | $2,454.71 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,258.93 | Professional | None | $660.69 | $660.69 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $660.69 Typical High $1,584.89 | Facility | None | $158.49 | $660.69 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,380.38 | Professional | None | $588.84 | $776.25 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $616.60 Typical High $933.25 | Professional | None | $66.07 | $616.60 | $933.25 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,202.26 | Professional | None | $562.34 | $724.44 | $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 $363.08 Median $389.05 Typical High $691.83 | Professional | 51 · Multiple procedures | $363.08 | $389.05 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $154.88 Typical High $275.42 | Professional | 80 · Assistant surgeon | $144.54 | $154.88 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $109.65 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $102.33 | $109.65 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $109.65 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $109.65 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $109.65 Typical High $194.98 | Professional | AS · PA/NP assist | $102.33 | $109.65 | $194.98 |
Where South Carolina sits
The same service costs 9.8 times more in Oklahoma 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· 39th of 51
$759
OK $4,365UT $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.