How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,585 to $17,783Professionalmedian $1,738 · 10th to 90th $166 to $2,754
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 $2,041.74 Median $10,964.78 Typical High $21,877.62 | Facility | None | $2,041.74 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,862.09 | $2,041.74 | $2,041.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $5,754.40 Typical High $17,378.01 | Facility | None | $1,905.46 | $5,754.40 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,951.21 | Professional | None | $1,548.82 | $1,778.28 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,235.94 Typical High $4,677.35 | Facility | None | $602.56 | $3,235.94 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $3,890.45 | Professional | None | $1,995.26 | $2,089.30 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $5,248.07 | Facility | None | $1,548.82 | $2,137.96 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,691.53 | Professional | None | $1,949.84 | $2,290.87 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $1,513.56 Typical High $2,630.27 | Professional | None | $151.36 | $1,513.56 | $2,630.27 |
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 $1,778.28 Median $2,187.76 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,187.76 | $3,801.89 |
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 $912.01 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $912.01 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $371.54 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,380.38 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $275.42 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,445.44 | $1,445.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $3,467.37 Typical High $5,011.87 | Professional | 50 · Both sides | $2,951.21 | $3,467.37 | $5,011.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $977.24 Median $1,148.15 Typical High $1,659.59 | Professional | 51 · Multiple procedures | $977.24 | $1,148.15 | $1,659.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $467.74 Typical High $660.69 | Professional | 80 · Assistant surgeon | $389.05 | $467.74 | $660.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $275.42 Median $323.59 Typical High $467.74 | Professional | 81 · Minimal assistant surgeon | $275.42 | $323.59 | $467.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $275.42 Median $323.59 Typical High $467.74 | Professional | 82 · Assistant surgeon, no resident | $275.42 | $323.59 | $467.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $323.59 Typical High $467.74 | Professional | AS · PA/NP assist | $275.42 | $323.59 | $467.74 |
Where South Carolina sits
The same service costs 6.9 times more in Alaska than in Texas. 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· 45th of 51
$1,862
AK $7,586TX $1,096
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.