How much rates vary
Facilitymedian $891 · 10th to 90th $759 to $1,738Professionalmedian $1,000 · 10th to 90th $708 to $1,738
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $851.14 | $851.14 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,584.89 | $1,737.80 | $1,737.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,445.44 Typical High $1,737.80 | Professional | None (both parts) | $1,000.00 | $1,445.44 | $1,737.80 |
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 $1,047.13 | Professional | None (both parts) | $645.65 | $645.65 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None | $724.44 | $724.44 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $1,000.00 Typical High $2,137.96 | Facility | None | $457.09 | $1,000.00 | $2,137.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,230.27 Typical High $2,290.87 | Professional | None (both parts) | $977.24 | $1,230.27 | $2,290.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Facility | None | $707.95 | $870.96 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $831.76 Typical High $1,047.13 | Professional | None (both parts) | $575.44 | $831.76 | $1,047.13 |
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 $426.58 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $426.58 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | 53 · Discontinued | $169.82 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $512.86 Typical High $1,230.27 | Professional | 26 · Professional part | $489.78 | $512.86 | $1,230.27 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,862.09 Typical High $4,570.88 | Professional | 50 · Both sides | $1,445.44 | $1,862.09 | $4,570.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $645.65 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $478.63 | $645.65 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $245.47 Typical High $616.60 | Professional | 80 · Assistant surgeon | $194.98 | $245.47 | $616.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $173.78 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $134.90 | $173.78 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $173.78 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $134.90 | $173.78 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $173.78 Typical High $426.58 | Professional | AS · PA/NP assist | $134.90 | $173.78 | $426.58 |
Medcost Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $776.25 Typical High $1,819.70 | Professional | TC · Technical part | $741.31 | $776.25 | $1,819.70 |
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· 22nd of 51
$1,000
HI $1,950DE $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.