How much rates vary
Facilitymedian $62 · 10th to 90th $46 to $110Professionalmedian $63 · 10th to 90th $45 to $110
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $53.70 | $53.70 | $64.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $63.10 | $91.20 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $44.67 | $44.67 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | None | $45.71 | $45.71 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $56.23 Typical High $134.90 | Facility | None | $26.30 | $56.23 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $144.54 | Professional | None (both parts) | $61.66 | $77.62 | $144.54 |
United Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $109.65 | Facility | None | $41.69 | $45.71 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $33.88 | $51.29 | $64.57 |
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 $26.92 Median $26.92 Typical High $32.36 | Professional | 52 · Reduced service | $26.92 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | 53 · Discontinued | $10.72 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $6.46 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $32.36 | $77.62 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $117.49 Typical High $288.40 | Professional | 50 · Both sides | $91.20 | $117.49 | $288.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $38.90 Typical High $95.50 | Professional | 51 · Multiple procedures | $30.20 | $38.90 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $15.49 Typical High $38.02 | Professional | 80 · Assistant surgeon | $12.30 | $15.49 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $10.96 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $8.51 | $10.96 | $26.92 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $10.96 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $10.96 | $26.92 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $10.96 Typical High $26.92 | Professional | AS · PA/NP assist | $8.51 | $10.96 | $26.92 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $114.82 | Professional | TC · Technical part | $46.77 | $48.98 | $114.82 |
Where South Carolina sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 19th of 51
$63.10
HI $112AZ $44.67
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.