How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,413 to $15,488Professionalmedian $2,884 · 10th to 90th $245 to $4,786
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 $269.15 Median $4,677.35 Typical High $16,595.87 | Facility | None | $269.15 | $4,677.35 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $2,511.89 Typical High $3,019.95 | Professional | None | $245.47 | $2,511.89 | $3,019.95 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $11,748.98 | Facility | None | $1,778.28 | $2,951.21 | $11,748.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $199.53 Median $524.81 Typical High $3,630.78 | Professional | None | $199.53 | $524.81 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,786.30 Typical High $6,606.93 | Facility | None | $602.56 | $4,786.30 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $776.25 Typical High $5,011.87 | Professional | None | $302.00 | $776.25 | $5,011.87 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $3,019.95 Typical High $5,754.40 | Facility | None | $269.15 | $3,019.95 | $5,754.40 |
Medcost Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $4,365.16 | Professional | None | $2,951.21 | $3,715.35 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $5,248.07 | Professional | None | $2,570.40 | $3,981.07 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $245.47 Median $2,454.71 Typical High $5,888.44 | Professional | None | $245.47 | $2,454.71 | $5,888.44 |
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 $131.83 Median $147.91 Typical High $1,513.56 | Professional | 52 · Reduced service | $131.83 | $147.91 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $58.88 Typical High $616.60 | Professional | 53 · Discontinued | $52.48 | $58.88 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $218.78 Typical High $2,290.87 | Professional | 54 · Surgery only | $199.53 | $218.78 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $44.67 Typical High $457.09 | Professional | 55 · Aftercare only | $39.81 | $44.67 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $29.51 Typical High $302.00 | Professional | 56 · Pre-op care only | $26.30 | $29.51 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,778.28 Median $1,862.09 Typical High $2,454.71 | Professional | 51 · Multiple procedures | $1,778.28 | $1,862.09 | $2,454.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $707.95 Median $741.31 Typical High $1,096.48 | Professional | 80 · Assistant surgeon | $707.95 | $741.31 | $1,096.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $501.19 Median $524.81 Typical High $776.25 | Professional | 81 · Minimal assistant surgeon | $501.19 | $524.81 | $776.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $501.19 Median $524.81 Typical High $776.25 | Professional | 82 · Assistant surgeon, no resident | $501.19 | $524.81 | $776.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $501.19 Median $524.81 Typical High $776.25 | Professional | AS · PA/NP assist | $501.19 | $524.81 | $776.25 |
Where South Carolina sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 19th of 51
$2,951
AK $5,248NE $468
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.