How much rates vary
Facilitymedian $1,230 · 10th to 90th $437 to $8,511Professionalmedian $2,399 · 10th to 90th $324 to $3,388
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 $2,818.38 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,818.38 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,344.23 | $2,818.38 | $2,818.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,388.44 | Professional | None | $2,187.76 | $2,570.40 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,995.26 | Facility | None | $100.00 | $794.33 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,265.80 | Professional | None | $2,398.83 | $2,398.83 | $4,265.80 |
Medcost Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $6,606.93 | Facility | None | $1,819.70 | $2,818.38 | $6,606.93 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $3,162.28 | Professional | None | $2,691.53 | $2,754.23 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $1,949.84 Typical High $3,311.31 | Professional | None | $295.12 | $1,949.84 | $3,311.31 |
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 $1,905.46 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,398.83 | $3,981.07 |
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 $1,174.90 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,174.90 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $467.74 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,737.80 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $346.74 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $234.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,949.84 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,348.96 Median $1,445.44 Typical High $2,089.30 | Professional | 51 · Multiple procedures | $1,348.96 | $1,445.44 | $2,089.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $537.03 Median $575.44 Typical High $851.14 | Professional | 80 · Assistant surgeon | $537.03 | $575.44 | $851.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $371.54 Median $407.38 Typical High $588.84 | Professional | 81 · Minimal assistant surgeon | $371.54 | $407.38 | $588.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $371.54 Median $407.38 Typical High $588.84 | Professional | 82 · Assistant surgeon, no resident | $371.54 | $407.38 | $588.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $371.54 Median $407.38 Typical High $588.84 | Professional | AS · PA/NP assist | $371.54 | $407.38 | $588.84 |
Where South Carolina sits
The same service costs 24.0 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· 43rd of 51
$2,344
AK $9,772TX $407
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.