How much rates vary
Facilitymedian $851 · 10th to 90th $776 to $1,622Professionalmedian $912 · 10th to 90th $708 to $1,622
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None (both parts) | $776.25 | $776.25 | $954.99 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,621.81 | $1,621.81 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,318.26 Typical High $1,621.81 | Professional | None (both parts) | $912.01 | $1,318.26 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $630.96 | $630.96 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | None | $812.83 | $812.83 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $933.25 Typical High $1,949.84 | Facility | None | $446.68 | $933.25 | $1,949.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,148.15 Typical High $2,089.30 | Professional | None (both parts) | $891.25 | $1,148.15 | $2,089.30 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,862.09 | Facility | None | $912.01 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $776.25 Typical High $954.99 | Professional | None (both parts) | $524.81 | $776.25 | $954.99 |
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 $389.05 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $158.49 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $95.50 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $478.63 Typical High $1,122.02 | Professional | 26 · Professional part | $457.09 | $478.63 | $1,122.02 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,698.24 Typical High $4,168.69 | Professional | 50 · Both sides | $1,348.96 | $1,698.24 | $4,168.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $562.34 Typical High $1,412.54 | Professional | 51 · Multiple procedures | $446.68 | $562.34 | $1,412.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $229.09 Typical High $562.34 | Professional | 80 · Assistant surgeon | $177.83 | $229.09 | $562.34 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $158.49 Typical High $389.05 | Professional | 81 · Minimal assistant surgeon | $125.89 | $158.49 | $389.05 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $158.49 Typical High $389.05 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $158.49 | $389.05 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $158.49 Typical High $389.05 | Professional | AS · PA/NP assist | $125.89 | $158.49 | $389.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $707.95 Typical High $1,698.24 | Professional | TC · Technical part | $676.08 | $707.95 | $1,698.24 |
Where South Carolina sits
The same service costs 5.1 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· 22nd of 51
$912
HI $3,236DE $631
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.