How much rates vary
Facilitymedian $891 · 10th to 90th $457 to $8,511Professionalmedian $603 · 10th to 90th $407 to $851
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 $512.86 Median $691.83 Typical High $21,877.62 | Facility | None | $512.86 | $691.83 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $549.54 | Professional | None | $446.68 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $891.25 | Professional | None | $407.38 | $602.56 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,905.46 | Facility | None | $588.84 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $851.14 | Professional | None | $489.78 | $549.54 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $1,318.26 | Facility | None | $457.09 | $549.54 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $691.83 | Professional | None | $549.54 | $588.84 | $691.83 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $891.25 | Professional | None | $416.87 | $616.60 | $891.25 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $977.24 | Professional | None | $446.68 | $575.44 | $977.24 |
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 $234.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $234.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $93.33 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $46.77 | $54.95 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $295.12 Typical High $426.58 | Professional | 51 · Multiple procedures | $295.12 | $295.12 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | 80 · Assistant surgeon | $117.49 | $117.49 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $83.18 | $83.18 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $83.18 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | AS · PA/NP assist | $83.18 | $83.18 | $117.49 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 31st of 51
$603
AK $1,514UT $447
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.