How much rates vary
Facilitymedian $933 · 10th to 90th $832 to $1,738Professionalmedian $1,023 · 10th to 90th $692 to $1,738
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | None (both parts) | $831.76 | $831.76 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,548.82 | $1,737.80 | $1,737.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $691.83 | $691.83 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | None | $851.14 | $851.14 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $2,089.30 | Facility | None | $489.78 | $933.25 | $2,089.30 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,202.26 Typical High $2,238.72 | Professional | None (both parts) | $1,023.29 | $1,202.26 | $2,238.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $831.76 Typical High $1,023.29 | Professional | None (both parts) | $575.44 | $831.76 | $1,023.29 |
12 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 $416.87 Median $416.87 Typical High $512.86 | Professional | 52 · Reduced service | $416.87 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | 53 · Discontinued | $165.96 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $512.86 Typical High $1,202.26 | Professional | 26 · Professional part | $478.63 | $512.86 | $1,202.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,778.28 Typical High $4,466.84 | Professional | 50 · Both sides | $1,513.56 | $1,778.28 | $4,466.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $630.96 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $512.86 | $630.96 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $239.88 Typical High $602.56 | Professional | 80 · Assistant surgeon | $204.17 | $239.88 | $602.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $165.96 Typical High $416.87 | Professional | 81 · Minimal assistant surgeon | $141.25 | $165.96 | $416.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $165.96 Typical High $416.87 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $165.96 | $416.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $165.96 Typical High $416.87 | Professional | AS · PA/NP assist | $141.25 | $165.96 | $416.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $758.58 Typical High $1,819.70 | Professional | TC · Technical part | $707.95 | $758.58 | $1,819.70 |
Where South Carolina sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 22nd of 51
$1,023
HI $1,778DE $692
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.