How much rates vary
Facilitymedian $575 · 10th to 90th $120 to $1,738Professionalmedian $437 · 10th to 90th $295 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 $346.74 Median $4,897.79 Typical High $21,877.62 | Facility | None | $346.74 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $457.09 | Professional | None | $302.00 | $346.74 | $457.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $234.42 Median $575.44 Typical High $1,230.27 | Facility | None | $234.42 | $575.44 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $524.81 | Professional | None | $263.03 | $371.54 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $398.11 Typical High $707.95 | Facility | None | $186.21 | $398.11 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $630.96 | Professional | None | $295.12 | $407.38 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $281.84 Typical High $501.19 | Facility | None | $85.11 | $281.84 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $549.54 | Professional | None | $398.11 | $501.19 | $549.54 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $812.83 | Professional | None | $380.19 | $575.44 | $812.83 |
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 $295.12 Median $416.87 Typical High $741.31 | Professional | None | $295.12 | $416.87 | $741.31 |
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 $151.36 Median $173.78 Typical High $223.87 | Professional | 52 · Reduced service | $151.36 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $70.79 Typical High $91.20 | Professional | 53 · Discontinued | $60.26 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $263.03 Typical High $338.84 | Professional | 54 · Surgery only | $223.87 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $52.48 Typical High $67.61 | Professional | 55 · Aftercare only | $44.67 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $34.67 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.20 | $34.67 | $45.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $239.88 Median $251.19 Typical High $346.74 | Professional | 51 · Multiple procedures | $239.88 | $251.19 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $100.00 Typical High $141.25 | Professional | 80 · Assistant surgeon | $97.72 | $100.00 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $70.79 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $67.61 | $70.79 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $70.79 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $67.61 | $70.79 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $67.61 Median $70.79 Typical High $97.72 | Professional | AS · PA/NP assist | $67.61 | $70.79 | $97.72 |
Where South Carolina sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 23rd of 51
$447
AK $977KY $339
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.