How much rates vary
Facilitymedian $676 · 10th to 90th $398 to $2,089Professionalmedian $204 · 10th to 90th $141 to $468
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 $158.49 Median $5,623.41 Typical High $21,877.62 | Facility | None | $158.49 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | None | $141.25 | $158.49 | $158.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $1,380.38 | Facility | None | $467.74 | $741.31 | $1,380.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $467.74 | Professional | None | $257.04 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $912.01 | Facility | None | $457.09 | $575.44 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $288.40 | Professional | None | $154.88 | $162.18 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $436.52 Typical High $630.96 | Facility | None | $144.54 | $436.52 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $331.13 | Professional | None | $165.96 | $190.55 | $331.13 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,165.95 | Facility | None | $302.00 | $1,122.02 | $6,165.95 |
United Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $302.00 | Professional | None | $134.90 | $165.96 | $302.00 |
10 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 $70.79 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 54 · Surgery only | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | 55 · Aftercare only | $21.38 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $14.45 | $15.85 | $15.85 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $102.33 Typical High $165.96 | Professional | 51 · Multiple procedures | $89.13 | $102.33 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $40.74 Typical High $66.07 | Professional | 80 · Assistant surgeon | $36.31 | $40.74 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $28.84 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $25.12 | $28.84 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $28.84 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $28.84 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $28.84 Typical High $46.77 | Professional | AS · PA/NP assist | $25.12 | $28.84 | $46.77 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in New York. 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· 5th of 51
$457
AK $603NY $141
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.