How much rates vary
Facilitymedian $166 · 10th to 90th $126 to $229Professionalmedian $151 · 10th to 90th $117 to $195
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 $109.65 Median $131.83 Typical High $177.83 | Facility | None | $109.65 | $131.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $109.65 | $147.91 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $112.20 | $208.93 | $316.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $229.09 | Facility | None | $131.83 | $223.87 | $229.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $147.91 | $173.78 | $173.78 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $120.23 Median $162.18 Typical High $239.88 | Professional | 29 | $120.23 | $162.18 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $138.04 | $169.82 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $331.13 | Professional | None | $165.96 | $208.93 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $213.80 | Facility | None | $147.91 | $177.83 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $165.96 | $199.53 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $79.43 | $125.89 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $131.83 | $158.49 | $218.78 |
11 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 $74.13 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $17.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $81.28 | $109.65 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $245.47 Median $302.00 Typical High $346.74 | Professional | 50 · Both sides | $245.47 | $302.00 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $100.00 Typical High $117.49 | Professional | 51 · Multiple procedures | $83.18 | $100.00 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $39.81 Typical High $46.77 | Professional | 80 · Assistant surgeon | $33.11 | $39.81 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $28.18 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $22.91 | $28.18 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $28.18 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $28.18 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $28.18 Typical High $32.36 | Professional | AS · PA/NP assist | $22.91 | $28.18 | $32.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $120.23 | $162.18 |
Where South Carolina sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 38th of 51
$151
AK $288AL $123
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.