How much rates vary
Facilitymedian $871 · 10th to 90th $309 to $14,125Professionalmedian $692 · 10th to 90th $490 to $1,072
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 $691.83 Median $5,888.44 Typical High $21,877.62 | Facility | None | $691.83 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $691.83 | Professional | None | $575.44 | $691.83 | $691.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $977.24 Typical High $15,135.61 | Facility | None | $676.08 | $977.24 | $15,135.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $1,202.26 | Professional | None | $489.78 | $831.76 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,905.46 | Facility | None | $588.84 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,122.02 | Professional | None | $691.83 | $691.83 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $1,513.56 | Facility | None | $575.44 | $691.83 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $933.25 | Professional | None | $676.08 | $794.33 | $933.25 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $891.25 | Professional | None | $489.78 | $602.56 | $891.25 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,023.29 | Professional | None | $489.78 | $645.65 | $1,023.29 |
10 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 $288.40 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $288.40 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $436.52 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $87.10 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $57.54 | $69.18 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $380.19 Median $446.68 Typical High $562.34 | Professional | 51 · Multiple procedures | $380.19 | $446.68 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $177.83 Typical High $223.87 | Professional | 80 · Assistant surgeon | $151.36 | $177.83 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $123.03 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $107.15 | $123.03 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $123.03 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $123.03 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $123.03 Typical High $154.88 | Professional | AS · PA/NP assist | $107.15 | $123.03 | $154.88 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 29th of 51
$759
AK $2,399UT $490
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.