How much rates vary
Facilitymedian $955 · 10th to 90th $692 to $1,585Professionalmedian $891 · 10th to 90th $692 to $1,585
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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $691.83 | $691.83 | $977.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,412.54 | $1,584.89 | $1,584.89 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $1,584.89 | Professional | None (both parts) | $891.25 | $1,288.25 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $707.95 | $707.95 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Professional | None | $870.96 | $870.96 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,905.46 | Facility | None | $501.19 | $831.76 | $1,905.46 |
Medcost Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,096.48 Typical High $2,041.74 | Professional | None (both parts) | $870.96 | $1,096.48 | $2,041.74 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $2,089.30 | Facility | None | $173.78 | $1,023.29 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $602.56 Median $776.25 Typical High $1,148.15 | Professional | None (both parts) | $602.56 | $776.25 | $1,148.15 |
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 $346.74 Median $346.74 Typical High $489.78 | Professional | 52 · Reduced service | $346.74 | $346.74 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $194.98 | Professional | 53 · Discontinued | $138.04 | $138.04 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $97.72 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $97.72 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $467.74 Typical High $1,096.48 | Professional | 26 · Professional part | $446.68 | $467.74 | $1,096.48 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,659.59 Typical High $4,073.80 | Professional | 50 · Both sides | $1,288.25 | $1,659.59 | $4,073.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $549.54 Typical High $1,348.96 | Professional | 51 · Multiple procedures | $436.52 | $549.54 | $1,348.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $218.78 Typical High $549.54 | Professional | 80 · Assistant surgeon | $173.78 | $218.78 | $549.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $154.88 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $120.23 | $154.88 | $380.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $154.88 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $154.88 | $380.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $154.88 Typical High $380.19 | Professional | AS · PA/NP assist | $120.23 | $154.88 | $380.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $691.83 Typical High $1,621.81 | Professional | TC · Technical part | $660.69 | $691.83 | $1,621.81 |
Where South Carolina sits
The same service costs 3.2 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· 41st of 51
$891
HI $2,239DE $708
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.