How much rates vary
Facilitymedian $29 · 10th to 90th $13 to $38Professionalmedian $30 · 10th to 90th $13 to $38
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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $19.05 | Professional | None (both parts) | $13.49 | $13.49 | $19.05 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $38.90 | Professional | None (both parts) | $28.18 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None (both parts) | $20.89 | $20.89 | $28.84 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $14.13 Typical High $21.88 | Facility | None | $13.49 | $14.13 | $21.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $39.81 | Professional | None (both parts) | $26.30 | $33.11 | $39.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $11.22 Median $16.60 Typical High $27.54 | Professional | None (both parts) | $11.22 | $16.60 | $27.54 |
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 $6.76 Median $6.76 Typical High $9.55 | Professional | 52 · Reduced service | $6.76 | $6.76 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.80 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.88 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.35 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.35 | $1.35 | $1.91 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $10.47 | $13.18 | $19.50 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $48.98 Typical High $72.44 | Professional | 50 · Both sides | $39.81 | $48.98 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.18 Median $16.60 Typical High $24.55 | Professional | 51 · Multiple procedures | $13.18 | $16.60 | $24.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.25 Median $6.61 Typical High $9.77 | Professional | 80 · Assistant surgeon | $5.25 | $6.61 | $9.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.72 Median $4.57 Typical High $6.76 | Professional | 81 · Minimal assistant surgeon | $3.72 | $4.57 | $6.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.72 Median $4.57 Typical High $6.76 | Professional | 82 · Assistant surgeon, no resident | $3.72 | $4.57 | $6.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.72 Median $4.57 Typical High $6.76 | Professional | AS · PA/NP assist | $3.72 | $4.57 | $6.76 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $29.51 | Professional | TC · Technical part | $15.85 | $19.50 | $29.51 |
Where South Carolina sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 10th of 51
$30.20
WY $75.86UT $18.62
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.