How much rates vary
Facilitymedian $8,913 · 10th to 90th $692 to $38,019Professionalmedian $832 · 10th to 90th $69 to $1,380
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 $977.24 Median $5,888.44 Typical High $21,877.62 | Facility | None | $977.24 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $977.24 | Professional | None | $776.25 | $977.24 | $977.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $10,232.93 Typical High $39,810.72 | Facility | None | $691.83 | $10,232.93 | $39,810.72 |
BCBS South Carolina Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $1,905.46 | Professional | None | $691.83 | $1,230.27 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $19,054.61 Typical High $26,915.35 | Facility | None | $602.56 | $19,054.61 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,737.80 | Professional | None | $891.25 | $912.01 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $8,128.31 | Facility | None | $588.84 | $851.14 | $8,128.31 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,174.90 | Professional | None | $831.76 | $954.99 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $724.44 Typical High $1,258.93 | Professional | None | $66.07 | $724.44 | $1,258.93 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $11,220.18 Typical High $33,884.42 | Facility | None | $3,311.31 | $11,220.18 | $33,884.42 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,621.81 | Professional | None | $758.58 | $977.24 | $1,621.81 |
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 $389.05 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $154.88 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $575.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $77.62 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $537.03 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $512.86 Typical High $741.31 | Professional | 51 · Multiple procedures | $416.87 | $512.86 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $199.53 Typical High $281.84 | Professional | 80 · Assistant surgeon | $165.96 | $199.53 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $141.25 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $114.82 | $141.25 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $141.25 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $141.25 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $141.25 Typical High $194.98 | Professional | AS · PA/NP assist | $114.82 | $141.25 | $194.98 |
Where South Carolina sits
The same service costs 6.8 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
$891
AK $3,715TX $550
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.