How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,950 to $3,981Professionalmedian $2,291 · 10th to 90th $1,622 to $3,981
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,344.23 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,344.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,630.78 | $3,981.07 | $3,981.07 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $3,235.94 Typical High $3,981.07 | Professional | None (both parts) | $2,290.87 | $3,235.94 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $2,344.23 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,621.81 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $4,897.79 | Facility | None | $1,047.13 | $2,041.74 | $4,897.79 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,818.38 Typical High $5,248.07 | Professional | None (both parts) | $2,187.76 | $2,818.38 | $5,248.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,951.21 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,862.09 Typical High $2,344.23 | Professional | None (both parts) | $1,318.26 | $1,862.09 | $2,344.23 |
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 $977.24 Median $977.24 Typical High $1,174.90 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | 53 · Discontinued | $389.05 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $234.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,122.02 Median $1,174.90 Typical High $2,754.23 | Professional | 26 · Professional part | $1,122.02 | $1,174.90 | $2,754.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,311.31 Median $4,265.80 Typical High $10,471.29 | Professional | 50 · Both sides | $3,311.31 | $4,265.80 | $10,471.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,096.48 Median $1,412.54 Typical High $3,467.37 | Professional | 51 · Multiple procedures | $1,096.48 | $1,412.54 | $3,467.37 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $446.68 Median $562.34 Typical High $1,380.38 | Professional | 80 · Assistant surgeon | $446.68 | $562.34 | $1,380.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $309.03 Median $398.11 Typical High $977.24 | Professional | 81 · Minimal assistant surgeon | $309.03 | $398.11 | $977.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $309.03 Median $398.11 Typical High $977.24 | Professional | 82 · Assistant surgeon, no resident | $309.03 | $398.11 | $977.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $398.11 Typical High $977.24 | Professional | AS · PA/NP assist | $309.03 | $398.11 | $977.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,778.28 Typical High $4,168.69 | Professional | TC · Technical part | $1,698.24 | $1,778.28 | $4,168.69 |
Where South Carolina sits
The same service costs 4.4 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· 20th of 51
$2,291
HI $6,457DE $1,479
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.