How much rates vary
Facilitymedian $617 · 10th to 90th $129 to $1,514Professionalmedian $141 · 10th to 90th $95 to $209
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 $128.82 Median $9,120.11 Typical High $22,908.68 | Facility | None | $128.82 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
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 $95.50 Median $154.88 Typical High $223.87 | Professional | None | $95.50 | $154.88 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $186.21 Typical High $302.00 | Facility | None | $75.86 | $186.21 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $199.53 | Professional | None | $112.20 | $128.82 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $316.23 | Facility | None | $114.82 | $128.82 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $158.49 | Professional | None | $128.82 | $151.36 | $158.49 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $208.93 | Professional | None | $95.50 | $141.25 | $208.93 |
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 $102.33 Median $128.82 Typical High $229.09 | Professional | None | $102.33 | $128.82 | $229.09 |
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 $54.95 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $81.28 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $16.22 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.96 | $12.88 | $12.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $66.07 Median $75.86 Typical High $97.72 | Professional | 51 · Multiple procedures | $66.07 | $75.86 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $30.20 Typical High $39.81 | Professional | 80 · Assistant surgeon | $26.30 | $30.20 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $20.89 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $18.20 | $20.89 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $20.89 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $20.89 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $20.89 Typical High $27.54 | Professional | AS · PA/NP assist | $18.20 | $20.89 | $27.54 |
Where South Carolina sits
The same service costs 3.2 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· 25th of 51
$162
AK $355TX $110
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.