How much rates vary
Facilitymedian $151 · 10th to 90th $115 to $204Professionalmedian $151 · 10th to 90th $115 to $214
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $114.82 Median $128.82 Typical High $151.36 | Facility | None | $114.82 | $128.82 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $114.82 | $151.36 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $138.04 | $141.25 | $154.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $125.89 Median $177.83 Typical High $223.87 | Professional | 29 | $125.89 | $177.83 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $147.91 | $165.96 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | None | $213.80 | $213.80 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $380.19 | Facility | None | $134.90 | $165.96 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $162.18 | $181.97 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $81.28 | $125.89 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $141.25 | $165.96 | $269.15 |
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 $70.79 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $70.79 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $22.91 Typical High $23.99 | Professional | 55 · Aftercare only | $20.89 | $22.91 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.14 Typical High $16.22 | Professional | 56 · Pre-op care only | $14.13 | $15.14 | $16.22 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $75.86 | $120.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $281.84 Typical High $446.68 | Professional | 50 · Both sides | $251.19 | $281.84 | $446.68 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $93.33 Typical High $151.36 | Professional | 51 · Multiple procedures | $83.18 | $93.33 | $151.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $38.02 Typical High $60.26 | Professional | 80 · Assistant surgeon | $33.11 | $38.02 | $60.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $26.30 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $23.44 | $26.30 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $26.30 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $26.30 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $26.30 Typical High $41.69 | Professional | AS · PA/NP assist | $23.44 | $26.30 | $41.69 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $100.00 | $109.65 | $181.97 |
Where South Carolina sits
The same service costs 2.4 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· 40th of 51
$151
AK $288AL $120
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.