How much rates vary
Facilitymedian $93 · 10th to 90th $71 to $162Professionalmedian $100 · 10th to 90th $71 to $145
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 $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $70.79 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $35.48 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $10.72 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.08 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $89.13 | $104.71 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $208.93 | Professional | None | $131.83 | $165.96 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $162.18 | Facility | None | $70.79 | $107.15 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $93.33 | $117.49 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $77.62 | $100.00 | $151.36 |
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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier 29 Typical Low $125.89 Median $208.93 Typical High $208.93 | Professional | 29 | $125.89 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $66.07 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $66.07 | $69.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $218.78 Typical High $257.04 | Professional | 50 · Both sides | $141.25 | $218.78 | $257.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $72.44 Typical High $85.11 | Professional | 51 · Multiple procedures | $47.86 | $72.44 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $28.84 Typical High $33.88 | Professional | 80 · Assistant surgeon | $19.05 | $28.84 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $20.42 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $13.18 | $20.42 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $20.42 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $20.42 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $20.42 Typical High $23.99 | Professional | AS · PA/NP assist | $13.18 | $20.42 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $102.33 | Professional | TC · Technical part | $57.54 | $97.72 | $102.33 |
Where South Carolina sits
The same service costs 2.5 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· 33rd of 51
$100
AK $204FL $81.28
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.