How much rates vary
Facilitymedian $141 · 10th to 90th $98 to $224Professionalmedian $129 · 10th to 90th $98 to $224
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $97.72 | $97.72 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $223.87 | Facility | None | $199.53 | $223.87 | $223.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $128.82 | $186.21 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $102.33 | $102.33 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $144.54 | Professional | None | $131.83 | $144.54 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $269.15 | Facility | None | $70.79 | $107.15 | $269.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $123.03 | $154.88 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
United Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $295.12 | Facility | None | $144.54 | $158.49 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $85.11 | $109.65 | $162.18 |
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 $48.98 Median $48.98 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $19.50 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $13.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $66.07 | $154.88 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $234.42 Typical High $575.44 | Professional | 50 · Both sides | $181.97 | $234.42 | $575.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $77.62 Typical High $190.55 | Professional | 51 · Multiple procedures | $61.66 | $77.62 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $30.90 Typical High $77.62 | Professional | 80 · Assistant surgeon | $24.55 | $30.90 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $21.88 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $16.98 | $21.88 | $53.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $21.88 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $21.88 | $53.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $21.88 Typical High $53.70 | Professional | AS · PA/NP assist | $16.98 | $21.88 | $53.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $93.33 | $97.72 | $229.09 |
Where South Carolina sits
The same service costs 3.7 times more in Hawaii 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· 40th of 51
$129
HI $380FL $102
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.