How much rates vary
Facilitymedian $2,138 · 10th to 90th $851 to $10,233Professionalmedian $275 · 10th to 90th $166 to $1,000
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 $602.56 Median $5,888.44 Typical High $21,877.62 | Facility | None | $602.56 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Professional | None | $602.56 | $602.56 | $645.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $2,754.23 | Facility | None | $1,548.82 | $2,137.96 | $2,754.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $204.17 | Professional | None | $165.96 | $199.53 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,630.27 | Facility | None | $602.56 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $1,000.00 Typical High $1,584.89 | Professional | None | $158.49 | $1,000.00 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $2,238.72 | Facility | None | $602.56 | $758.58 | $2,238.72 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $831.76 | Professional | None | $512.86 | $512.86 | $831.76 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
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 $138.04 Median $724.44 Typical High $1,230.27 | Professional | None | $138.04 | $724.44 | $1,230.27 |
10 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 $295.12 Median $295.12 Typical High $309.03 | Professional | 52 · Reduced service | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 54 · Surgery only | $446.68 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $61.66 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $257.04 Typical High $562.34 | Professional | 51 · Multiple procedures | $257.04 | $257.04 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $102.33 Typical High $223.87 | Professional | 80 · Assistant surgeon | $102.33 | $102.33 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $70.79 | $70.79 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $70.79 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | AS · PA/NP assist | $70.79 | $70.79 | $158.49 |
Where South Carolina sits
The same service costs 53.7 times more in Alaska than in New York. 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
$708
AK $2,692NY $50.12
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.