How much rates vary
Facilitymedian $389 · 10th to 90th $347 to $708Professionalmedian $447 · 10th to 90th $316 to $708
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $346.74 | $346.74 | $416.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $707.95 Typical High $707.95 | Facility | None | $645.65 | $707.95 | $707.95 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $436.52 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $436.52 | $446.68 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $281.84 | $281.84 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | None | $346.74 | $346.74 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $389.05 Typical High $851.14 | Facility | None | $199.53 | $389.05 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $389.05 | $501.19 | $933.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $239.88 | $338.84 | $416.87 |
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 $173.78 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $41.69 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $208.93 Typical High $489.78 | Professional | 26 · Professional part | $199.53 | $208.93 | $489.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $758.58 Typical High $1,862.09 | Professional | 50 · Both sides | $588.84 | $758.58 | $1,862.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $251.19 Typical High $616.60 | Professional | 51 · Multiple procedures | $194.98 | $251.19 | $616.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $77.62 Median $100.00 Typical High $245.47 | Professional | 80 · Assistant surgeon | $77.62 | $100.00 | $245.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $70.79 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $54.95 | $70.79 | $173.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $70.79 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $70.79 | $173.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $70.79 Typical High $173.78 | Professional | AS · PA/NP assist | $54.95 | $70.79 | $173.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $316.23 Typical High $741.31 | Professional | TC · Technical part | $302.00 | $316.23 | $741.31 |
Where South Carolina sits
The same service costs 2.5 times more in Iowa 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· 21st of 51
$447
IA $708DE $282
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.