How much rates vary
Facilitymedian $617 · 10th to 90th $550 to $1,122Professionalmedian $891 · 10th to 90th $447 to $1,122
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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | None (both parts) | $549.54 | $549.54 | $691.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,023.29 | $1,122.02 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $446.68 | $446.68 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,380.38 | Facility | None | $549.54 | $660.69 | $1,380.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,479.11 | Professional | None (both parts) | $891.25 | $891.25 | $1,479.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $549.54 Typical High $776.25 | Professional | None (both parts) | $389.05 | $549.54 | $776.25 |
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 $275.42 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | 53 · Discontinued | $109.65 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $66.07 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $794.33 | Professional | 26 · Professional part | $354.81 | $354.81 | $794.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,318.26 Typical High $2,951.21 | Professional | 50 · Both sides | $1,318.26 | $1,318.26 | $2,951.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $436.52 Typical High $977.24 | Professional | 51 · Multiple procedures | $436.52 | $436.52 | $977.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $177.83 Typical High $389.05 | Professional | 80 · Assistant surgeon | $177.83 | $177.83 | $389.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $123.03 Typical High $275.42 | Professional | 81 · Minimal assistant surgeon | $123.03 | $123.03 | $275.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $123.03 Typical High $275.42 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $123.03 | $275.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $123.03 Typical High $275.42 | Professional | AS · PA/NP assist | $123.03 | $123.03 | $275.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $1,174.90 | Professional | TC · Technical part | $524.81 | $524.81 | $1,174.90 |
Where South Carolina sits
The same service costs 2.6 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· 18th of 51
$794
HI $1,175DE $447
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.