How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,413 to $2,884Professionalmedian $1,660 · 10th to 90th $1,259 to $2,884
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,630.27 | $2,884.03 | $2,884.03 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,344.23 Typical High $2,884.03 | Professional | None (both parts) | $1,659.59 | $2,344.23 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,698.24 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,258.93 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,548.13 | Facility | None | $758.58 | $1,513.56 | $3,548.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,041.74 Typical High $3,801.89 | Professional | None (both parts) | $1,584.89 | $2,041.74 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,584.89 | $1,659.59 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,380.38 Typical High $1,698.24 | Professional | None (both parts) | $954.99 | $1,380.38 | $1,698.24 |
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 $707.95 Median $707.95 Typical High $851.14 | Professional | 52 · Reduced service | $707.95 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $851.14 Typical High $1,995.26 | Professional | 26 · Professional part | $812.83 | $851.14 | $1,995.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $3,090.30 Typical High $7,585.78 | Professional | 50 · Both sides | $2,398.83 | $3,090.30 | $7,585.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $794.33 Median $1,023.29 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $794.33 | $1,023.29 | $2,511.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $407.38 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $323.59 | $407.38 | $1,000.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $223.87 Median $288.40 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $223.87 | $288.40 | $707.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $223.87 Median $288.40 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $223.87 | $288.40 | $707.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $288.40 Typical High $707.95 | Professional | AS · PA/NP assist | $223.87 | $288.40 | $707.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,288.25 Typical High $3,019.95 | Professional | TC · Technical part | $1,230.27 | $1,288.25 | $3,019.95 |
Where South Carolina sits
The same service costs 3.1 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· 23rd of 51
$1,660
HI $3,467DE $1,122
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.