How much rates vary
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 $269.15 Median $5,623.41 Typical High $21,877.62 | Facility | None | $269.15 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $1,659.59 Typical High $2,818.38 | Professional | None | $269.15 | $1,659.59 | $2,818.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,023.29 Median $2,630.27 Typical High $8,128.31 | Facility | None | $1,023.29 | $2,630.27 | $8,128.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $194.98 Median $2,187.76 Typical High $2,238.72 | Professional | None | $194.98 | $2,187.76 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $2,137.96 | Facility | None | $602.56 | $1,258.93 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $707.95 Typical High $3,801.89 | Professional | None | $288.40 | $707.95 | $3,801.89 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $1,348.96 Typical High $2,818.38 | Facility | None | $269.15 | $1,348.96 | $2,818.38 |
Medcost Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,949.84 | $1,949.84 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $2,137.96 Typical High $3,890.45 | Professional | None | $190.55 | $2,137.96 | $3,890.45 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $218.78 Median $1,202.26 Typical High $3,162.28 | Professional | None | $218.78 | $1,202.26 | $3,162.28 |
7 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 54 · Surgery only Typical Low $204.17 Median $223.87 Typical High $2,137.96 | Professional | 54 · Surgery only | $204.17 | $223.87 | $2,137.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $208.93 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $190.55 | $208.93 | $1,995.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $977.24 Median $977.24 Typical High $1,819.70 | Professional | 51 · Multiple procedures | $977.24 | $977.24 | $1,819.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $389.05 Typical High $724.44 | Professional | 80 · Assistant surgeon | $389.05 | $389.05 | $724.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $269.15 Median $275.42 Typical High $501.19 | Professional | 81 · Minimal assistant surgeon | $269.15 | $275.42 | $501.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $269.15 Median $275.42 Typical High $501.19 | Professional | 82 · Assistant surgeon, no resident | $269.15 | $275.42 | $501.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $275.42 Typical High $501.19 | Professional | AS · PA/NP assist | $269.15 | $275.42 | $501.19 |
Where South Carolina sits
The same service costs 7.1 times more in Oregon 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· 10th of 51
$1,950
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.