How much rates vary
Facilitymedian $1,122 · 10th to 90th $437 to $8,511Professionalmedian $1,122 · 10th to 90th $126 to $1,778
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 $9,120.11 Typical High $22,908.68 | Facility | None | $1,230.27 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,174.90 | $1,230.27 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | None | $1,122.02 | $1,122.02 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,584.89 | $1,698.24 | $1,995.26 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $3,388.44 | Facility | None | $1,174.90 | $1,230.27 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,122.02 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $977.24 Typical High $1,819.70 | Professional | None | $117.49 | $977.24 | $1,819.70 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $2,089.30 | Professional | None | $954.99 | $1,202.26 | $2,089.30 |
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 54 · Surgery only Typical Low $891.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $891.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $177.83 | $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 $831.76 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $831.76 | $870.96 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $562.34 Typical High $870.96 | Professional | 51 · Multiple procedures | $512.86 | $562.34 | $870.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $229.09 Typical High $354.81 | Professional | 80 · Assistant surgeon | $204.17 | $229.09 | $354.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $158.49 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $144.54 | $158.49 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $158.49 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $158.49 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $158.49 Typical High $245.47 | Professional | AS · PA/NP assist | $144.54 | $158.49 | $245.47 |
Where South Carolina sits
The same service costs 16.2 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· 35th of 51
$1,122
AK $3,090TX $191
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.