How much rates vary
Facilitymedian $1,479 · 10th to 90th $603 to $14,125Professionalmedian $794 · 10th to 90th $69 to $1,230
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 $933.25 Median $10,000.00 Typical High $21,877.62 | Facility | None | $933.25 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | None | $741.31 | $933.25 | $933.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,412.54 | Professional | None | $676.08 | $954.99 | $1,412.54 |
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 $851.14 Median $870.96 Typical High $1,659.59 | Professional | None | $851.14 | $870.96 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $2,089.30 | Facility | None | $645.65 | $933.25 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,445.44 | Professional | None | $870.96 | $1,000.00 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $707.95 Typical High $1,202.26 | Professional | None | $66.07 | $707.95 | $1,202.26 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,041.74 Typical High $14,791.08 | Facility | None | $851.14 | $2,041.74 | $14,791.08 |
United Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,584.89 | Professional | None | $724.44 | $933.25 | $1,584.89 |
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 $371.54 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $147.91 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $74.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $524.81 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $501.19 Typical High $724.44 | Professional | 51 · Multiple procedures | $436.52 | $501.19 | $724.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $199.53 Typical High $288.40 | Professional | 80 · Assistant surgeon | $173.78 | $199.53 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $141.25 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $123.03 | $141.25 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $141.25 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $141.25 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $141.25 Typical High $204.17 | Professional | AS · PA/NP assist | $123.03 | $141.25 | $204.17 |
Where South Carolina sits
The same service costs 5.9 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· 43rd of 51
$832
AK $3,090TX $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.