How much rates vary
Facilitymedian $617 · 10th to 90th $186 to $1,514Professionalmedian $324 · 10th to 90th $224 to $708
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 $234.42 Median $4,897.79 Typical High $21,877.62 | Facility | None | $234.42 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $281.84 | Professional | None | $213.80 | $234.42 | $281.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,348.96 | Facility | None | $457.09 | $724.44 | $1,348.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $181.97 Median $616.60 Typical High $851.14 | Professional | None | $181.97 | $616.60 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $389.05 Typical High $707.95 | Facility | None | $186.21 | $389.05 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $512.86 | Professional | None | $234.42 | $275.42 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $630.96 | Facility | None | $165.96 | $316.23 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $354.81 | Professional | None | $251.19 | $316.23 | $354.81 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $524.81 | Professional | None | $257.04 | $371.54 | $524.81 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $512.86 | Professional | None | $208.93 | $288.40 | $512.86 |
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 $104.71 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $104.71 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $42.66 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $173.78 Typical High $213.80 | Professional | 54 · Surgery only | $158.49 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $34.67 Typical High $42.66 | Professional | 55 · Aftercare only | $31.62 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.44 Typical High $28.18 | Professional | 56 · Pre-op care only | $21.38 | $23.44 | $28.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $177.83 Typical High $229.09 | Professional | 51 · Multiple procedures | $151.36 | $177.83 | $229.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $70.79 Typical High $91.20 | Professional | 80 · Assistant surgeon | $61.66 | $70.79 | $91.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $50.12 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $43.65 | $50.12 | $64.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $50.12 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $50.12 | $64.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $50.12 Typical High $64.57 | Professional | AS · PA/NP assist | $43.65 | $50.12 | $64.57 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 12th of 51
$363
AK $851MD $229
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.