How much rates vary
Facilitymedian $1,000 · 10th to 90th $437 to $8,710Professionalmedian $1,202 · 10th to 90th $158 to $1,778
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 $1,412.54 Median $9,120.11 Typical High $22,908.68 | Facility | None | $1,412.54 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,412.54 | $1,412.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $2,137.96 | Professional | None | $954.99 | $1,412.54 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,258.93 | $2,398.83 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $3,019.95 | Facility | None | $977.24 | $1,412.54 | $3,019.95 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,258.93 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $1,071.52 Typical High $1,737.80 | Professional | None | $123.03 | $1,071.52 | $1,737.80 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $9,120.11 | Facility | None | $416.87 | $1,258.93 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,288.25 | $2,238.72 |
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 $537.03 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $537.03 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $213.80 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $794.33 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $741.31 | $977.24 | $977.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $588.84 Median $691.83 Typical High $977.24 | Professional | 51 · Multiple procedures | $588.84 | $691.83 | $977.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $275.42 Typical High $389.05 | Professional | 80 · Assistant surgeon | $234.42 | $275.42 | $389.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $162.18 Median $194.98 Typical High $269.15 | Professional | 81 · Minimal assistant surgeon | $162.18 | $194.98 | $269.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $162.18 Median $194.98 Typical High $269.15 | Professional | 82 · Assistant surgeon, no resident | $162.18 | $194.98 | $269.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $194.98 Typical High $269.15 | Professional | AS · PA/NP assist | $162.18 | $194.98 | $269.15 |
Where South Carolina sits
The same service costs 5.6 times more in Alaska 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· 39th of 51
$1,202
AK $4,365TX $776
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.