How much rates vary
Facilitymedian $1,445 · 10th to 90th $603 to $14,125Professionalmedian $832 · 10th to 90th $513 to $1,175
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 $870.96 Median $9,120.11 Typical High $22,908.68 | Facility | None | $870.96 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $870.96 | Professional | None | $691.83 | $870.96 | $870.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | None | $12,022.64 | $12,022.64 | $12,022.64 |
BCBS South Carolina Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,318.26 | Professional | None | $630.96 | $912.01 | $1,318.26 |
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 $794.33 Median $812.83 Typical High $1,548.82 | Professional | None | $794.33 | $812.83 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $870.96 Typical High $1,949.84 | Facility | None | $616.60 | $870.96 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,380.38 | Professional | None | $812.83 | $954.99 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $776.25 Typical High $1,148.15 | Professional | None | $66.07 | $776.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $14,791.08 | Facility | None | $851.14 | $2,238.72 | $14,791.08 |
United Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,479.11 | Professional | None | $691.83 | $870.96 | $1,479.11 |
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 $346.74 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $346.74 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $138.04 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $524.81 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $104.71 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $69.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $489.78 | $602.56 | $602.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $478.63 Typical High $691.83 | Professional | 51 · Multiple procedures | $416.87 | $478.63 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $190.55 Typical High $281.84 | Professional | 80 · Assistant surgeon | $165.96 | $190.55 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $117.49 | $134.90 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $134.90 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | AS · PA/NP assist | $117.49 | $134.90 | $194.98 |
Where South Carolina sits
The same service costs 5.4 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· 40th of 51
$851
AK $2,884UT $537
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.