How much rates vary
Facilitymedian $1,122 · 10th to 90th $437 to $8,511Professionalmedian $2,138 · 10th to 90th $288 to $3,548
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 $2,511.89 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,511.89 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,511.89 | $2,511.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,995.26 | $2,344.23 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $4,786.30 | Professional | None | $2,290.87 | $2,630.27 | $4,786.30 |
Medcost Setting Facility Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $6,025.60 | Facility | None | $1,737.80 | $2,511.89 | $6,025.60 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $4,365.16 | Professional | None | $2,398.83 | $2,754.23 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $1,862.09 Typical High $3,467.37 | Professional | None | $263.03 | $1,862.09 | $3,467.37 |
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 $1,995.26 Median $2,511.89 Typical High $4,265.80 | Professional | None | $1,995.26 | $2,511.89 | $4,265.80 |
11 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 $1,071.52 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,071.52 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $426.58 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,584.89 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $316.23 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $213.80 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,778.28 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,258.93 Median $1,380.38 Typical High $2,187.76 | Professional | 51 · Multiple procedures | $1,258.93 | $1,380.38 | $2,187.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $549.54 Typical High $870.96 | Professional | 80 · Assistant surgeon | $512.86 | $549.54 | $870.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $389.05 Typical High $616.60 | Professional | 81 · Minimal assistant surgeon | $354.81 | $389.05 | $616.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $389.05 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $389.05 | $616.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $389.05 Typical High $616.60 | Professional | AS · PA/NP assist | $354.81 | $389.05 | $616.60 |
Where South Carolina sits
The same service costs 13.5 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· 44th of 51
$2,138
AK $8,913TX $661
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.