How much rates vary
Facilitymedian $3,631 · 10th to 90th $2,042 to $4,677Professionalmedian $2,692 · 10th to 90th $2,042 to $4,677
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,884.03 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,884.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,168.69 | $4,677.35 | $4,677.35 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $3,801.89 Typical High $4,677.35 | Professional | None (both parts) | $2,630.27 | $3,801.89 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,691.53 Typical High $3,630.78 | Professional | None (both parts) | $2,691.53 | $2,691.53 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,754.23 | Professional | None | $2,630.27 | $2,630.27 | $2,754.23 |
Medcost Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $5,623.41 | Facility | None | $1,479.11 | $2,398.83 | $5,623.41 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,311.31 Typical High $6,165.95 | Professional | None (both parts) | $2,570.40 | $3,311.31 | $6,165.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $6,165.95 | Facility | None | $3,090.30 | $3,311.31 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,290.87 Typical High $3,467.37 | Professional | None (both parts) | $1,778.28 | $2,290.87 | $3,467.37 |
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 $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $575.44 | Professional | 53 · Discontinued | $407.38 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $436.52 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $288.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,318.26 Median $1,380.38 Typical High $3,235.94 | Professional | 26 · Professional part | $1,318.26 | $1,380.38 | $3,235.94 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,890.45 Median $4,897.79 Typical High $12,302.69 | Professional | 50 · Both sides | $3,890.45 | $4,897.79 | $12,302.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,288.25 Median $1,659.59 Typical High $4,073.80 | Professional | 51 · Multiple procedures | $1,288.25 | $1,659.59 | $4,073.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $660.69 Typical High $1,621.81 | Professional | 80 · Assistant surgeon | $512.86 | $660.69 | $1,621.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $363.08 Median $457.09 Typical High $1,148.15 | Professional | 81 · Minimal assistant surgeon | $363.08 | $457.09 | $1,148.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $363.08 Median $457.09 Typical High $1,148.15 | Professional | 82 · Assistant surgeon, no resident | $363.08 | $457.09 | $1,148.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $363.08 Median $457.09 Typical High $1,148.15 | Professional | AS · PA/NP assist | $363.08 | $457.09 | $1,148.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $2,089.30 Typical High $4,897.79 | Professional | TC · Technical part | $1,949.84 | $2,089.30 | $4,897.79 |
Where South Carolina sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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
$2,692
HI $7,413PA $2,455
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.