How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,072 to $18,621Professionalmedian $603 · 10th to 90th $102 to $933
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 $10,964.78 Typical High $21,877.62 | Facility | None | $645.65 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $645.65 | Professional | None | $575.44 | $645.65 | $645.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $5,754.40 Typical High $18,197.01 | Facility | None | $1,202.26 | $5,754.40 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,122.02 | Professional | None | $501.19 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,511.89 Typical High $3,548.13 | Facility | None | $630.96 | $2,511.89 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $1,174.90 | Professional | None | $602.56 | $630.96 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $2,454.71 | Facility | None | $645.65 | $1,047.13 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $977.24 | Professional | None | $645.65 | $741.31 | $977.24 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $537.03 Typical High $870.96 | Professional | None | $81.28 | $537.03 | $870.96 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,174.90 | Professional | None | $549.54 | $691.83 | $1,174.90 |
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 $288.40 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $117.49 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $436.52 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $87.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $407.38 | $457.09 | $457.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $354.81 Median $363.08 Typical High $575.44 | Professional | 51 · Multiple procedures | $354.81 | $363.08 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $147.91 Typical High $208.93 | Professional | 80 · Assistant surgeon | $141.25 | $147.91 | $208.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $102.33 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $100.00 | $102.33 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $102.33 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $102.33 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $102.33 Typical High $147.91 | Professional | AS · PA/NP assist | $100.00 | $102.33 | $147.91 |
Where South Carolina sits
The same service costs 6.9 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
$661
AK $2,754UT $398
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.