How much rates vary
Facilitymedian $741 · 10th to 90th $562 to $1,148Professionalmedian $661 · 10th to 90th $537 to $1,148
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $676.08 | Professional | None (both parts) | $562.34 | $562.34 | $676.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,047.13 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $660.69 Median $933.25 Typical High $1,148.15 | Professional | None (both parts) | $660.69 | $933.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $537.03 | $537.03 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | None | $630.96 | $630.96 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $616.60 Typical High $1,380.38 | Facility | None | $331.13 | $616.60 | $1,380.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $630.96 Median $812.83 Typical High $1,513.56 | Professional | None (both parts) | $630.96 | $812.83 | $1,513.56 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $1,412.54 | Facility | None | $645.65 | $691.83 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $398.11 | $562.34 | $691.83 |
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 $281.84 Median $281.84 Typical High $338.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | 53 · Discontinued | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $67.61 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $338.84 Typical High $794.33 | Professional | 26 · Professional part | $323.59 | $338.84 | $794.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,202.26 Typical High $3,019.95 | Professional | 50 · Both sides | $954.99 | $1,202.26 | $3,019.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $407.38 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $316.23 | $407.38 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $162.18 Typical High $398.11 | Professional | 80 · Assistant surgeon | $125.89 | $162.18 | $398.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $89.13 Median $112.20 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $89.13 | $112.20 | $281.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $112.20 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $112.20 | $281.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $112.20 Typical High $281.84 | Professional | AS · PA/NP assist | $89.13 | $112.20 | $281.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $512.86 Typical High $1,202.26 | Professional | TC · Technical part | $489.78 | $512.86 | $1,202.26 |
Where South Carolina sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 32nd of 51
$661
HI $1,622VT $537
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.