How much rates vary
Facilitymedian $2,630 · 10th to 90th $776 to $10,000Professionalmedian $741 · 10th to 90th $447 to $1,047
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 $776.25 Median $10,000.00 Typical High $21,877.62 | Facility | None | $776.25 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | None | $616.60 | $776.25 | $776.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,754.23 Typical High $8,317.64 | Facility | None | $851.14 | $2,754.23 | $8,317.64 |
BCBS South Carolina Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,174.90 | Professional | None | $562.34 | $776.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $4,168.69 | Facility | None | $602.56 | $2,398.83 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $1,380.38 | Professional | None | $707.95 | $724.44 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $1,737.80 | Facility | None | $616.60 | $794.33 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $954.99 | Professional | None | $724.44 | $851.14 | $954.99 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $676.08 Typical High $1,023.29 | Professional | None | $66.07 | $676.08 | $1,023.29 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,288.25 | Professional | None | $602.56 | $776.25 | $1,288.25 |
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 $309.03 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $309.03 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $467.74 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $93.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $61.66 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $436.52 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $380.19 Median $426.58 Typical High $588.84 | Professional | 51 · Multiple procedures | $380.19 | $426.58 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $169.82 Typical High $223.87 | Professional | 80 · Assistant surgeon | $151.36 | $169.82 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $120.23 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $104.71 | $120.23 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $120.23 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $120.23 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $120.23 Typical High $158.49 | Professional | AS · PA/NP assist | $104.71 | $120.23 | $158.49 |
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
$776
AK $2,570UT $479
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.