How much rates vary
Facilitymedian $1,122 · 10th to 90th $437 to $8,511Professionalmedian $1,905 · 10th to 90th $245 to $2,630
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 $2,137.96 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,137.96 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,778.28 | $2,137.96 | $2,137.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,737.80 | $2,089.30 | $2,570.40 |
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 $1,905.46 Median $1,905.46 Typical High $3,311.31 | Professional | None | $1,905.46 | $1,905.46 | $3,311.31 |
Medcost Setting Facility Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $5,011.87 | Facility | None | $1,445.44 | $2,137.96 | $5,011.87 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,290.87 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $1,548.82 Typical High $2,630.27 | Professional | None | $229.09 | $1,548.82 | $2,630.27 |
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 $1,479.11 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,862.09 | $3,019.95 |
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 $891.25 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $891.25 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $363.08 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,348.96 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $269.15 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,513.56 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,047.13 Median $1,202.26 Typical High $1,621.81 | Professional | 51 · Multiple procedures | $1,047.13 | $1,202.26 | $1,621.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $489.78 Typical High $645.65 | Professional | 80 · Assistant surgeon | $416.87 | $489.78 | $645.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $295.12 Median $338.84 Typical High $457.09 | Professional | 81 · Minimal assistant surgeon | $295.12 | $338.84 | $457.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $295.12 Median $338.84 Typical High $457.09 | Professional | 82 · Assistant surgeon, no resident | $295.12 | $338.84 | $457.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $338.84 Typical High $457.09 | Professional | AS · PA/NP assist | $295.12 | $338.84 | $457.09 |
Where South Carolina sits
The same service costs 22.9 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· 41st of 51
$1,862
AK $7,586TX $331
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.