How much rates vary
Facilitymedian $380 · 10th to 90th $214 to $490Professionalmedian $302 · 10th to 90th $214 to $490
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $213.80 | $213.80 | $281.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $489.78 | Facility | None | $436.52 | $489.78 | $489.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $302.00 | $426.58 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $281.84 | $281.84 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $588.84 | Facility | None | $120.23 | $234.42 | $588.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $457.09 | $457.09 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $194.98 | $288.40 | $389.05 |
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 $107.15 Median $107.15 Typical High $141.25 | Professional | 52 · Reduced service | $107.15 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | 53 · Discontinued | $42.66 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $28.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $309.03 | Professional | 26 · Professional part | $181.97 | $181.97 | $309.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | 50 · Both sides | $676.08 | $676.08 | $1,148.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | 51 · Multiple procedures | $229.09 | $229.09 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | 80 · Assistant surgeon | $91.20 | $91.20 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $63.10 | $63.10 | $107.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $63.10 | $63.10 | $107.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | AS · PA/NP assist | $63.10 | $63.10 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $457.09 | Professional | TC · Technical part | $275.42 | $275.42 | $457.09 |
Where South Carolina sits
The same service costs 3.0 times more in Hawaii than in Utah. 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· 30th of 51
$302
HI $661UT $224
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.