How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,318 to $15,136Professionalmedian $646 · 10th to 90th $102 to $977
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 $691.83 Median $9,120.11 Typical High $22,908.68 | Facility | None | $691.83 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $691.83 | Professional | None | $616.60 | $691.83 | $691.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,737.80 Median $3,981.07 Typical High $14,125.38 | Facility | None | $1,737.80 | $3,981.07 | $14,125.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,202.26 | Professional | None | $524.81 | $776.25 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,511.89 Typical High $3,548.13 | Facility | None | $602.56 | $2,511.89 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $1,258.93 | Professional | None | $645.65 | $660.69 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $4,168.69 | Facility | None | $524.81 | $691.83 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,318.26 | Professional | None | $707.95 | $776.25 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $549.54 Typical High $912.01 | Professional | None | $81.28 | $549.54 | $912.01 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $19,498.45 | Facility | None | $1,023.29 | $3,311.31 | $19,498.45 |
United Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,258.93 | Professional | None | $575.44 | $724.44 | $1,258.93 |
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 $309.03 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $309.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $123.03 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $457.09 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $426.58 | $478.63 | $478.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $389.05 Typical High $660.69 | Professional | 51 · Multiple procedures | $371.54 | $389.05 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $154.88 Typical High $269.15 | Professional | 80 · Assistant surgeon | $151.36 | $154.88 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $109.65 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $104.71 | $109.65 | $186.21 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $109.65 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $109.65 | $186.21 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $109.65 Typical High $186.21 | Professional | AS · PA/NP assist | $104.71 | $109.65 | $186.21 |
Where South Carolina sits
The same service costs 6.2 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· 43rd of 51
$692
AK $2,512UT $407
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.