How much rates vary
Facilitymedian $501 · 10th to 90th $269 to $617Professionalmedian $355 · 10th to 90th $269 to $617
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $269.15 | $269.15 | $380.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $549.54 Median $616.60 Typical High $616.60 | Facility | None | $549.54 | $616.60 | $616.60 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $346.74 | $501.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $371.54 | $371.54 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $354.81 | Professional | None | $302.00 | $302.00 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $741.31 | Facility | None | $186.21 | $295.12 | $741.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $338.84 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $338.84 | $436.52 | $812.83 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $794.33 | Facility | None | $389.05 | $389.05 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $234.42 | $302.00 | $436.52 |
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 $134.90 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $134.90 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $38.02 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $181.97 Typical High $426.58 | Professional | 26 · Professional part | $173.78 | $181.97 | $426.58 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $645.65 Typical High $1,621.81 | Professional | 50 · Both sides | $512.86 | $645.65 | $1,621.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $218.78 Typical High $537.03 | Professional | 51 · Multiple procedures | $169.82 | $218.78 | $537.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $87.10 Typical High $213.80 | Professional | 80 · Assistant surgeon | $67.61 | $87.10 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $47.86 Median $60.26 Typical High $151.36 | Professional | 81 · Minimal assistant surgeon | $47.86 | $60.26 | $151.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $47.86 Median $60.26 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $47.86 | $60.26 | $151.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $60.26 Typical High $151.36 | Professional | AS · PA/NP assist | $47.86 | $60.26 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $275.42 Typical High $645.65 | Professional | TC · Technical part | $257.04 | $275.42 | $645.65 |
Where South Carolina sits
The same service costs 3.0 times more in Hawaii than in Washington, DC. 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· 43rd of 51
$363
HI $933DC $316
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.