How much rates vary
Facilitymedian $832 · 10th to 90th $646 to $1,349Professionalmedian $759 · 10th to 90th $603 to $1,349
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $794.33 | Professional | None (both parts) | $645.65 | $645.65 | $794.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,202.26 | $1,348.96 | $1,348.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,096.48 Typical High $1,348.96 | Professional | None (both parts) | $758.58 | $1,096.48 | $1,348.96 |
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 $602.56 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $602.56 | $602.56 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $831.76 | Professional | None | $660.69 | $660.69 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $741.31 Typical High $1,621.81 | Facility | None | $426.58 | $741.31 | $1,621.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $741.31 Median $933.25 Typical High $1,737.80 | Professional | None (both parts) | $741.31 | $933.25 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $870.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $660.69 Typical High $831.76 | Professional | None (both parts) | $501.19 | $660.69 | $831.76 |
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 $323.59 Median $323.59 Typical High $398.11 | Professional | 52 · Reduced service | $323.59 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $79.43 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $398.11 Typical High $933.25 | Professional | 26 · Professional part | $380.19 | $398.11 | $933.25 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,412.54 Typical High $3,467.37 | Professional | 50 · Both sides | $1,122.02 | $1,412.54 | $3,467.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $467.74 Typical High $1,174.90 | Professional | 51 · Multiple procedures | $371.54 | $467.74 | $1,174.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $190.55 Typical High $467.74 | Professional | 80 · Assistant surgeon | $147.91 | $190.55 | $467.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $131.83 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $104.71 | $131.83 | $323.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $131.83 Typical High $323.59 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $131.83 | $323.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $131.83 Typical High $323.59 | Professional | AS · PA/NP assist | $104.71 | $131.83 | $323.59 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $588.84 Typical High $1,412.54 | Professional | TC · Technical part | $562.34 | $588.84 | $1,412.54 |
Where South Carolina sits
The same service costs 5.4 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· 38th of 51
$759
HI $3,236DE $603
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.