How much rates vary
Facilitymedian $4,898 · 10th to 90th $501 to $25,704Professionalmedian $708 · 10th to 90th $200 to $6,026
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 $457.09 Median $4,897.79 Typical High $21,877.62 | Facility | None | $457.09 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $2,884.03 | Professional | None | $457.09 | $501.19 | $2,884.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $7,762.47 Typical High $26,915.35 | Facility | None | $512.86 | $7,762.47 | $26,915.35 |
BCBS South Carolina Setting Professional Modifier None Typical Low $173.78 Median $426.58 Typical High $4,466.84 | Professional | None | $173.78 | $426.58 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $9,549.93 Typical High $15,848.93 | Facility | None | $457.09 | $9,549.93 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $2,238.72 | Professional | None | $186.21 | $234.42 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $537.03 Typical High $4,466.84 | Facility | None | $181.97 | $537.03 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $3,311.31 | Professional | None | $223.87 | $288.40 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $4,677.35 Typical High $7,079.46 | Professional | None | $562.34 | $4,677.35 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $25,703.96 | Facility | None | $1,819.70 | $6,606.93 | $25,703.96 |
United Setting Professional Modifier None Typical Low $177.83 Median $338.84 Typical High $2,630.27 | Professional | None | $177.83 | $338.84 | $2,630.27 |
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 $223.87 Median $229.09 Typical High $1,445.44 | Professional | 52 · Reduced service | $223.87 | $229.09 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $575.44 | Professional | 53 · Discontinued | $91.20 | $91.20 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $346.74 Typical High $2,187.76 | Professional | 54 · Surgery only | $338.84 | $346.74 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $69.18 Typical High $436.52 | Professional | 55 · Aftercare only | $67.61 | $69.18 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $288.40 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $323.59 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $316.23 | $323.59 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $144.54 Typical High $2,187.76 | Professional | 51 · Multiple procedures | $112.20 | $144.54 | $2,187.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $44.67 Median $57.54 Typical High $870.96 | Professional | 80 · Assistant surgeon | $44.67 | $57.54 | $870.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $40.74 Typical High $616.60 | Professional | 81 · Minimal assistant surgeon | $30.90 | $40.74 | $616.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $40.74 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $40.74 | $616.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $40.74 Typical High $616.60 | Professional | AS · PA/NP assist | $30.90 | $40.74 | $616.60 |
Where South Carolina sits
The same service costs 18.4 times more in Alabama than in Montana. 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.
Physician feeFacility fee
AL $30,876MT $1,679
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.