How much rates vary
Facilitymedian $891 · 10th to 90th $851 to $1,820Professionalmedian $1,023 · 10th to 90th $692 to $1,820
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | None (both parts) | $891.25 | $891.25 | $1,071.52 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,621.81 | $1,819.70 | $1,819.70 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $1,819.70 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $1,071.52 | Professional | None (both parts) | $645.65 | $645.65 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | None | $691.83 | $691.83 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $933.25 Typical High $2,187.76 | Facility | None | $446.68 | $933.25 | $2,187.76 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,288.25 Typical High $2,398.83 | Professional | None (both parts) | $1,000.00 | $1,288.25 | $2,398.83 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $851.14 Typical High $1,071.52 | Professional | None (both parts) | $575.44 | $851.14 | $1,071.52 |
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 $436.52 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $436.52 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | 53 · Discontinued | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $107.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $537.03 Typical High $1,258.93 | Professional | 26 · Professional part | $512.86 | $537.03 | $1,258.93 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,905.46 Typical High $4,677.35 | Professional | 50 · Both sides | $1,513.56 | $1,905.46 | $4,677.35 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $630.96 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $501.19 | $630.96 | $1,584.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $257.04 Typical High $630.96 | Professional | 80 · Assistant surgeon | $199.53 | $257.04 | $630.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $177.83 Typical High $436.52 | Professional | 81 · Minimal assistant surgeon | $141.25 | $177.83 | $436.52 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $177.83 Typical High $436.52 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $177.83 | $436.52 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $177.83 Typical High $436.52 | Professional | AS · PA/NP assist | $141.25 | $177.83 | $436.52 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $794.33 Typical High $1,905.46 | Professional | TC · Technical part | $758.58 | $794.33 | $1,905.46 |
Where South Carolina sits
The same service costs 3.0 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· 20th of 51
$1,023
HI $1,905DE $646
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.