How much rates vary
Facilitymedian $1,905 · 10th to 90th $933 to $10,715Professionalmedian $851 · 10th to 90th $102 to $1,259
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 $1,023.29 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,023.29 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,023.29 | Professional | None | $776.25 | $1,023.29 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,023.29 Median $3,090.30 Typical High $9,549.93 | Facility | None | $1,023.29 | $3,090.30 | $9,549.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,548.82 | Professional | None | $707.95 | $1,023.29 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,122.02 Typical High $1,819.70 | Facility | None | $630.96 | $1,122.02 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,737.80 | Professional | None | $851.14 | $912.01 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,737.80 | Facility | None | $758.58 | $1,023.29 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,174.90 | Professional | None | $851.14 | $1,023.29 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $758.58 Typical High $1,258.93 | Professional | None | $81.28 | $758.58 | $1,258.93 |
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 $758.58 Median $933.25 Typical High $1,659.59 | Professional | None | $758.58 | $933.25 | $1,659.59 |
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 $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $389.05 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $154.88 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $588.84 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $117.49 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $77.62 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $549.54 | $724.44 | $724.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $426.58 Median $512.86 Typical High $707.95 | Professional | 51 · Multiple procedures | $426.58 | $512.86 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $204.17 Typical High $281.84 | Professional | 80 · Assistant surgeon | $169.82 | $204.17 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $144.54 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $120.23 | $144.54 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $144.54 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $144.54 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $144.54 Typical High $199.53 | Professional | AS · PA/NP assist | $120.23 | $144.54 | $199.53 |
Where South Carolina sits
The same service costs 5.8 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· 39th of 51
$955
AK $3,236UT $562
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.