How much rates vary
Facilitymedian $1,288 · 10th to 90th $32 to $2,512Professionalmedian $871 · 10th to 90th $25 to $1,288
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 $23.99 Median $32.36 Typical High $1,023.29 | Facility | None | $23.99 | $32.36 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $758.58 Typical High $1,023.29 | Professional | None | $23.99 | $758.58 | $1,023.29 |
Ambetter 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 |
BCBS South Carolina Setting Facility Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,511.89 | Facility | None | $954.99 | $1,288.25 | $2,511.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.20 Median $1,258.93 Typical High $1,288.25 | Professional | None | $30.20 | $1,258.93 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $1,023.29 Typical High $1,348.96 | Facility | None | $32.36 | $1,023.29 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,000.00 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,584.89 | $2,344.23 |
United Setting Facility Modifier None Typical Low $6,760.83 Median $8,317.64 Typical High $10,715.19 | Facility | None | $6,760.83 | $8,317.64 | $10,715.19 |
United Setting Professional Modifier None Typical Low $22.39 Median $776.25 Typical High $1,202.26 | Professional | None | $22.39 | $776.25 | $1,202.26 |
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 $16.22 Median $512.86 Typical High $537.03 | Professional | 52 · Reduced service | $16.22 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | 53 · Discontinued | $204.17 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $501.19 Typical High $812.83 | Professional | 51 · Multiple procedures | $501.19 | $501.19 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $199.53 Typical High $323.59 | Professional | 80 · Assistant surgeon | $199.53 | $199.53 | $323.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | 81 · Minimal assistant surgeon | $141.25 | $141.25 | $223.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $141.25 | $223.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | AS · PA/NP assist | $141.25 | $141.25 | $223.87 |
Where South Carolina sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 37th of 51
$871
HI $1,622MD $33.11
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.