How much rates vary
Facilitymedian $759 · 10th to 90th $513 to $1,047Professionalmedian $603 · 10th to 90th $501 to $1,047
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $512.86 | $512.86 | $630.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Facility | None | $954.99 | $1,047.13 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $602.56 Median $870.96 Typical High $1,047.13 | Professional | None (both parts) | $602.56 | $870.96 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $549.54 | $549.54 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | None | $562.34 | $562.34 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $1,288.25 | Facility | None | $309.03 | $616.60 | $1,288.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $575.44 Median $741.31 Typical High $1,380.38 | Professional | None (both parts) | $575.44 | $741.31 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
United Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,318.26 | Facility | None | $575.44 | $645.65 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $371.54 | $512.86 | $630.96 |
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 $257.04 Median $257.04 Typical High $309.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | 53 · Discontinued | $102.33 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $63.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $309.03 Typical High $724.44 | Professional | 26 · Professional part | $295.12 | $309.03 | $724.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,122.02 Typical High $2,754.23 | Professional | 50 · Both sides | $870.96 | $1,122.02 | $2,754.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $371.54 Typical High $912.01 | Professional | 51 · Multiple procedures | $288.40 | $371.54 | $912.01 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $147.91 Typical High $363.08 | Professional | 80 · Assistant surgeon | $117.49 | $147.91 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $104.71 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $81.28 | $104.71 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $104.71 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $104.71 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $104.71 Typical High $257.04 | Professional | AS · PA/NP assist | $81.28 | $104.71 | $257.04 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $467.74 Typical High $1,096.48 | Professional | TC · Technical part | $446.68 | $467.74 | $1,096.48 |
Where South Carolina sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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· 29th of 51
$603
HI $1,445AZ $550
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.