How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,202 to $13,183Professionalmedian $331 · 10th to 90th $245 to $692
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 $676.08 Median $5,623.41 Typical High $21,877.62 | Facility | None | $676.08 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $676.08 | Professional | None | $562.34 | $676.08 | $676.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $3,467.37 | Facility | None | $1,698.24 | $2,951.21 | $3,467.37 |
BCBS South Carolina Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $331.13 | Professional | None | $245.47 | $251.19 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $2,511.89 Typical High $6,456.54 | Facility | None | $549.54 | $2,511.89 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,023.29 | Professional | None | $616.60 | $616.60 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $5,370.32 | Facility | None | $467.74 | $812.83 | $5,370.32 |
Medcost Setting Professional Modifier None Typical Low $229.09 Median $660.69 Typical High $758.58 | Professional | None | $229.09 | $660.69 | $758.58 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $6,760.83 Typical High $16,982.44 | Facility | None | $1,023.29 | $6,760.83 | $16,982.44 |
United Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $602.56 | Professional | None | $234.42 | $316.23 | $602.56 |
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 $281.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $281.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $83.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $56.23 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $1,023.29 Typical High $1,513.56 | Professional | 50 · Both sides | $346.74 | $1,023.29 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $338.84 Typical High $512.86 | Professional | 51 · Multiple procedures | $114.82 | $338.84 | $512.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $134.90 Typical High $204.17 | Professional | 80 · Assistant surgeon | $45.71 | $134.90 | $204.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $95.50 Typical High $141.25 | Professional | 81 · Minimal assistant surgeon | $32.36 | $95.50 | $141.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $95.50 Typical High $141.25 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $95.50 | $141.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $95.50 Typical High $141.25 | Professional | AS · PA/NP assist | $32.36 | $95.50 | $141.25 |
Where South Carolina sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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· 46th of 51
$447
AK $2,344HI $224
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.