How much rates vary
Facilitymedian $437 · 10th to 90th $347 to $708Professionalmedian $447 · 10th to 90th $324 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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $316.23 | $316.23 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $851.14 | Facility | None | $346.74 | $416.87 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $549.54 | $549.54 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $346.74 Typical High $489.78 | Professional | None (both parts) | $239.88 | $346.74 | $489.78 |
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 $218.78 Median $218.78 Typical High $489.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $489.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $812.83 Typical High $1,862.09 | Professional | 50 · Both sides | $812.83 | $812.83 | $1,862.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $275.42 Typical High $616.60 | Professional | 51 · Multiple procedures | $275.42 | $275.42 | $616.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $109.65 Typical High $245.47 | Professional | 80 · Assistant surgeon | $109.65 | $109.65 | $245.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $75.86 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $75.86 | $75.86 | $173.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $75.86 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $75.86 | $173.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $75.86 Typical High $173.78 | Professional | AS · PA/NP assist | $75.86 | $75.86 | $173.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $323.59 | $323.59 | $741.31 |
Where South Carolina sits
The same service costs 2.3 times more in Montana 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
MT $741DE $316
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.