How much rates vary
Facilitymedian $2,239 · 10th to 90th $977 to $9,120Professionalmedian $891 · 10th to 90th $115 to $1,349
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 $1,230.27 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,230.27 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,202.26 | $1,230.27 | $1,230.27 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,122.02 Median $2,238.72 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,238.72 | $6,760.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,122.02 | Professional | None | $812.83 | $977.24 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,412.54 Typical High $2,290.87 | Facility | None | $630.96 | $1,412.54 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,778.28 | Professional | None | $776.25 | $891.25 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $1,047.13 Typical High $2,187.76 | Facility | None | $89.13 | $1,047.13 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,174.90 | Professional | None | $851.14 | $1,096.48 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $741.31 Typical High $1,348.96 | Professional | None | $102.33 | $741.31 | $1,348.96 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,778.28 | Professional | None | $794.33 | $1,000.00 | $1,778.28 |
12 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 $602.56 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $602.56 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $912.01 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $181.97 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $120.23 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $851.14 | $870.96 | $870.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,258.93 Median $1,659.59 Typical High $2,089.30 | Professional | 50 · Both sides | $1,258.93 | $1,659.59 | $2,089.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $549.54 Typical High $707.95 | Professional | 51 · Multiple procedures | $416.87 | $549.54 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $218.78 Typical High $281.84 | Professional | 80 · Assistant surgeon | $169.82 | $218.78 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $154.88 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $117.49 | $154.88 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $154.88 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $154.88 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $154.88 Typical High $194.98 | Professional | AS · PA/NP assist | $117.49 | $154.88 | $194.98 |
Where South Carolina sits
The same service costs 7.2 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· 44th of 51
$977
AK $3,981UT $550
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.