How much rates vary
Facilitymedian $741 · 10th to 90th $589 to $1,202Professionalmedian $692 · 10th to 90th $550 to $1,202
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $588.84 | $588.84 | $724.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,071.52 | $1,202.26 | $1,202.26 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $691.83 Median $977.24 Typical High $1,202.26 | Professional | None (both parts) | $691.83 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $537.03 | $537.03 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $794.33 | Professional | None | $707.95 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $707.95 Typical High $1,445.44 | Facility | None | $380.19 | $707.95 | $1,445.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,584.89 | Professional | None (both parts) | $660.69 | $851.14 | $1,584.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,584.89 | Facility | None | $776.25 | $912.01 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $588.84 Typical High $741.31 | Professional | None (both parts) | $446.68 | $588.84 | $741.31 |
13 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 $295.12 Median $295.12 Typical High $363.08 | Professional | 52 · Reduced service | $295.12 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | 53 · Discontinued | $117.49 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $72.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $354.81 Typical High $831.76 | Professional | 26 · Professional part | $338.84 | $354.81 | $831.76 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,258.93 Typical High $3,162.28 | Professional | 50 · Both sides | $1,000.00 | $1,258.93 | $3,162.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $436.52 Typical High $1,047.13 | Professional | 51 · Multiple procedures | $331.13 | $436.52 | $1,047.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $169.82 Typical High $416.87 | Professional | 80 · Assistant surgeon | $131.83 | $169.82 | $416.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $117.49 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $93.33 | $117.49 | $295.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $117.49 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $117.49 | $295.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $117.49 Typical High $295.12 | Professional | AS · PA/NP assist | $93.33 | $117.49 | $295.12 |
Medcost Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $537.03 Typical High $1,258.93 | Professional | TC · Technical part | $512.86 | $537.03 | $1,258.93 |
Where South Carolina sits
The same service costs 4.6 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· 40th of 51
$692
HI $2,455DE $537
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.