How much rates vary
Facilitymedian $1,202 · 10th to 90th $646 to $1,479Professionalmedian $851 · 10th to 90th $646 to $1,479
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $912.01 | Professional | None (both parts) | $645.65 | $645.65 | $912.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,318.26 | $1,479.11 | $1,479.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,202.26 Typical High $1,479.11 | Professional | None (both parts) | $831.76 | $1,202.26 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $870.96 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $954.99 | Professional | None | $870.96 | $954.99 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $1,778.28 | Facility | None | $467.74 | $707.95 | $1,778.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,023.29 Typical High $1,905.46 | Professional | None (both parts) | $812.83 | $1,023.29 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,949.84 | Facility | None | $457.09 | $724.44 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $724.44 Typical High $1,071.52 | Professional | None (both parts) | $562.34 | $724.44 | $1,071.52 |
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 $323.59 Median $323.59 Typical High $457.09 | Professional | 52 · Reduced service | $323.59 | $323.59 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | 53 · Discontinued | $128.82 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $91.20 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $436.52 Typical High $1,023.29 | Professional | 26 · Professional part | $416.87 | $436.52 | $1,023.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,548.82 Typical High $3,801.89 | Professional | 50 · Both sides | $1,202.26 | $1,548.82 | $3,801.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $407.38 Median $512.86 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $407.38 | $512.86 | $1,288.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $208.93 Typical High $512.86 | Professional | 80 · Assistant surgeon | $162.18 | $208.93 | $512.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $144.54 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $112.20 | $144.54 | $354.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $144.54 Typical High $354.81 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $144.54 | $354.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $144.54 Typical High $354.81 | Professional | AS · PA/NP assist | $112.20 | $144.54 | $354.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $645.65 Typical High $1,548.82 | Professional | TC · Technical part | $616.60 | $645.65 | $1,548.82 |
Where South Carolina sits
The same service costs 2.6 times more in Montana than in Florida. 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· 46th of 51
$871
MT $1,950FL $759
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.