How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,950 to $18,621Professionalmedian $1,202 · 10th to 90th $174 to $1,950
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 $1,445.44 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,445.44 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,288.25 | $1,445.44 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $18,197.01 | Facility | None | $3,467.37 | $6,918.31 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,584.89 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,467.37 Typical High $4,897.79 | Facility | None | $602.56 | $3,467.37 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,445.44 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,445.44 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $6,165.95 | Facility | None | $1,202.26 | $1,479.11 | $6,165.95 |
Medcost Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,513.56 | $1,737.80 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $1,023.29 Typical High $1,905.46 | Professional | None | $162.18 | $1,023.29 | $1,905.46 |
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 $1,230.27 Median $1,548.82 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,548.82 | $2,691.53 |
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 $645.65 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $645.65 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $257.04 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $977.24 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $912.01 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $812.83 Median $891.25 Typical High $1,174.90 | Professional | 51 · Multiple procedures | $812.83 | $891.25 | $1,174.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $363.08 Typical High $467.74 | Professional | 80 · Assistant surgeon | $323.59 | $363.08 | $467.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $223.87 Median $251.19 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $223.87 | $251.19 | $331.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $223.87 Median $251.19 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $223.87 | $251.19 | $331.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $251.19 Typical High $331.13 | Professional | AS · PA/NP assist | $223.87 | $251.19 | $331.13 |
Where South Carolina sits
The same service costs 6.9 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· 44th of 51
$1,380
AK $5,370TX $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.