How much rates vary
Facilitymedian $1,905 · 10th to 90th $832 to $10,965Professionalmedian $631 · 10th to 90th $490 to $1,122
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 $512.86 Median $9,120.11 Typical High $21,877.62 | Facility | None | $512.86 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $707.95 | Professional | None | $512.86 | $602.56 | $707.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $3,388.44 Typical High $10,232.93 | Facility | None | $1,047.13 | $3,388.44 | $10,232.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $794.33 | Professional | None | $407.38 | $549.54 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,621.81 Typical High $2,398.83 | Facility | None | $602.56 | $1,621.81 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $1,258.93 | Professional | None | $489.78 | $602.56 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,737.80 | Facility | None | $512.86 | $741.31 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $891.25 | Professional | None | $575.44 | $741.31 | $891.25 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,258.93 | Professional | None | $616.60 | $912.01 | $1,258.93 |
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 $446.68 Median $645.65 Typical High $1,122.02 | Professional | None | $446.68 | $645.65 | $1,122.02 |
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 $257.04 Median $281.84 Typical High $354.81 | Professional | 52 · Reduced service | $257.04 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $112.20 Typical High $141.25 | Professional | 53 · Discontinued | $102.33 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $416.87 Typical High $537.03 | Professional | 54 · Surgery only | $380.19 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $83.18 Typical High $107.15 | Professional | 55 · Aftercare only | $77.62 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $56.23 Typical High $70.79 | Professional | 56 · Pre-op care only | $51.29 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $389.05 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $354.81 | $389.05 | $501.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,174.90 Typical High $1,737.80 | Professional | 50 · Both sides | $870.96 | $1,174.90 | $1,737.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $389.05 Typical High $575.44 | Professional | 51 · Multiple procedures | $288.40 | $389.05 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $158.49 Typical High $229.09 | Professional | 80 · Assistant surgeon | $114.82 | $158.49 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $109.65 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $81.28 | $109.65 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $109.65 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $109.65 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $109.65 Typical High $162.18 | Professional | AS · PA/NP assist | $81.28 | $109.65 | $162.18 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 36th of 51
$724
AK $2,291KY $562
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.