How much rates vary
Facilitymedian $1,778 · 10th to 90th $501 to $10,233Professionalmedian $575 · 10th to 90th $69 to $832
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 $645.65 Median $5,623.41 Typical High $21,877.62 | Facility | None | $645.65 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $645.65 | Professional | None | $489.78 | $645.65 | $645.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,862.09 Typical High $9,549.93 | Facility | None | $512.86 | $1,862.09 | $9,549.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,000.00 | Professional | None | $436.52 | $691.83 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,479.11 Typical High $2,630.27 | Facility | None | $457.09 | $1,479.11 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $1,096.48 | Professional | None | $562.34 | $575.44 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $630.96 Typical High $1,380.38 | Facility | None | $436.52 | $630.96 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,174.90 | Professional | None | $562.34 | $660.69 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $501.19 Typical High $794.33 | Professional | None | $56.23 | $501.19 | $794.33 |
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 $489.78 Median $588.84 Typical High $1,023.29 | Professional | None | $489.78 | $588.84 | $1,023.29 |
12 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 $245.47 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $245.47 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $97.72 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $363.08 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $72.44 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $48.98 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $338.84 | $446.68 | $446.68 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $1,000.00 Typical High $1,778.28 | Professional | 50 · Both sides | $831.76 | $1,000.00 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $338.84 Typical High $588.84 | Professional | 51 · Multiple procedures | $281.84 | $338.84 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $134.90 Typical High $234.42 | Professional | 80 · Assistant surgeon | $112.20 | $134.90 | $234.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $93.33 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $77.62 | $93.33 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $93.33 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $93.33 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $93.33 Typical High $165.96 | Professional | AS · PA/NP assist | $77.62 | $93.33 | $165.96 |
Where South Carolina sits
The same service costs 5.5 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· 38th of 51
$646
AK $2,042UT $372
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.