How much rates vary
Facilitymedian $2,138 · 10th to 90th $813 to $15,136Professionalmedian $891 · 10th to 90th $102 to $1,349
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 $1,047.13 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,047.13 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | None | $794.33 | $1,047.13 | $1,047.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $3,548.13 Typical High $14,454.40 | Facility | None | $851.14 | $3,548.13 | $14,454.40 |
BCBS South Carolina Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,621.81 | Professional | None | $707.95 | $1,148.15 | $1,621.81 |
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 $933.25 Median $977.24 Typical High $1,778.28 | Professional | None | $933.25 | $977.24 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $2,238.72 | Facility | None | $630.96 | $1,000.00 | $2,238.72 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,318.26 | Professional | None | $912.01 | $1,096.48 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $794.33 Typical High $1,318.26 | Professional | None | $81.28 | $794.33 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,698.24 | Professional | None | $812.83 | $1,000.00 | $1,698.24 |
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 $398.11 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $398.11 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $602.56 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $120.23 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $562.34 | $741.31 | $741.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $549.54 Typical High $758.58 | Professional | 51 · Multiple procedures | $457.09 | $549.54 | $758.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $223.87 Typical High $288.40 | Professional | 80 · Assistant surgeon | $181.97 | $223.87 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $154.88 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $128.82 | $154.88 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $154.88 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $128.82 | $154.88 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $154.88 Typical High $204.17 | Professional | AS · PA/NP assist | $128.82 | $154.88 | $204.17 |
Where South Carolina sits
The same service costs 6.6 times more in Oklahoma 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
$977
OK $3,802UT $575
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.