How much rates vary
Facilitymedian $832 · 10th to 90th $708 to $1,479Professionalmedian $832 · 10th to 90th $646 to $1,479
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $707.95 | $707.95 | $1,071.52 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,318.26 | $1,479.11 | $1,479.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,174.90 Typical High $1,479.11 | Professional | None (both parts) | $831.76 | $1,174.90 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None (both parts) | $616.60 | $616.60 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Professional | None | $660.69 | $660.69 | $741.31 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $758.58 Typical High $1,778.28 | Facility | None | $407.38 | $758.58 | $1,778.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $1,737.80 | Professional | None (both parts) | $794.33 | $1,023.29 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,698.24 | Facility | None | $630.96 | $794.33 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $691.83 Typical High $870.96 | Professional | None (both parts) | $478.63 | $691.83 | $870.96 |
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 $354.81 Median $354.81 Typical High $436.52 | Professional | 52 · Reduced service | $354.81 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | 53 · Discontinued | $141.25 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $87.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $436.52 Typical High $1,023.29 | Professional | 26 · Professional part | $407.38 | $436.52 | $1,023.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,584.89 Typical High $3,801.89 | Professional | 50 · Both sides | $1,202.26 | $1,584.89 | $3,801.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $537.03 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $398.11 | $537.03 | $1,288.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $213.80 Typical High $512.86 | Professional | 80 · Assistant surgeon | $158.49 | $213.80 | $512.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $147.91 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $112.20 | $147.91 | $354.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $147.91 Typical High $354.81 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $147.91 | $354.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $147.91 Typical High $354.81 | Professional | AS · PA/NP assist | $112.20 | $147.91 | $354.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $645.65 Typical High $1,513.56 | Professional | TC · Technical part | $616.60 | $645.65 | $1,513.56 |
Where South Carolina sits
The same service costs 3.2 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· 24th of 51
$832
HI $1,950DE $617
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.