How much rates vary
Facilitymedian $708 · 10th to 90th $245 to $1,445Professionalmedian $170 · 10th to 90th $79 to $257
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None | $169.82 | $169.82 | $181.97 |
BCBS South Carolina Setting Facility Modifier None Typical Low $245.47 Median $707.95 Typical High $1,412.54 | Facility | None | $245.47 | $707.95 | $1,412.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $63.10 Median $114.82 Typical High $162.18 | Professional | None | $63.10 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,238.72 | Facility | None | $1,023.29 | $1,023.29 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $257.04 | Professional | None | $173.78 | $186.21 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $371.54 | Professional | None | $223.87 | $263.03 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $446.68 | Facility | None | $165.96 | $186.21 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $186.21 Typical High $288.40 | Professional | None | $75.86 | $186.21 | $288.40 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $302.00 | Professional | None | $147.91 | $194.98 | $302.00 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,187.76 | Facility | None | $1,380.38 | $1,698.24 | $2,187.76 |
United Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $251.19 | Professional | None | $141.25 | $169.82 | $251.19 |
9 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 $85.11 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.70 Typical High $27.54 | Professional | 55 · Aftercare only | $25.12 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $18.20 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $18.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $117.49 Typical High $144.54 | Professional | 51 · Multiple procedures | $38.02 | $117.49 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.14 Median $46.77 Typical High $57.54 | Professional | 80 · Assistant surgeon | $15.14 | $46.77 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $32.36 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $10.72 | $32.36 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $32.36 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $32.36 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $32.36 Typical High $39.81 | Professional | AS · PA/NP assist | $10.72 | $32.36 | $39.81 |
Where South Carolina sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 46th of 51
$170
AK $447FL $155
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.