How much rates vary
Facilitymedian $1,995 · 10th to 90th $617 to $17,378Professionalmedian $575 · 10th to 90th $102 to $871
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 $616.60 Median $10,964.78 Typical High $21,877.62 | Facility | None | $616.60 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $616.60 | Professional | None | $549.54 | $616.60 | $616.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
BCBS South Carolina Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $977.24 | Professional | None | $489.78 | $645.65 | $977.24 |
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 $588.84 Median $602.56 Typical High $1,122.02 | Professional | None | $588.84 | $602.56 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $1,513.56 | Facility | None | $446.68 | $616.60 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,174.90 | Professional | None | $630.96 | $691.83 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $512.86 Typical High $851.14 | Professional | None | $81.28 | $512.86 | $851.14 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,019.95 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,019.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $1,122.02 | Professional | None | $512.86 | $645.65 | $1,122.02 |
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 $275.42 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $275.42 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $109.65 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $81.28 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $380.19 | $426.58 | $426.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $346.74 Typical High $588.84 | Professional | 51 · Multiple procedures | $338.84 | $346.74 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $138.04 Typical High $239.88 | Professional | 80 · Assistant surgeon | $134.90 | $138.04 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $97.72 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $93.33 | $97.72 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $97.72 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $97.72 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $97.72 Typical High $165.96 | Professional | AS · PA/NP assist | $93.33 | $97.72 | $165.96 |
Where South Carolina sits
The same service costs 6.0 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· 44th of 51
$589
AK $2,239UT $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.