How much rates vary
Facilitymedian $468 · 10th to 90th $282 to $646Professionalmedian $363 · 10th to 90th $282 to $646
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $281.84 | $281.84 | $398.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $645.65 | Facility | None | $575.44 | $645.65 | $645.65 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $524.81 Typical High $645.65 | Professional | None (both parts) | $363.08 | $524.81 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $338.84 | $338.84 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Professional | None | $323.59 | $323.59 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $776.25 | Facility | None | $204.17 | $316.23 | $776.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $354.81 | $446.68 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $851.14 | Facility | None | $380.19 | $416.87 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $245.47 | $316.23 | $467.74 |
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 $141.25 Median $141.25 Typical High $199.53 | Professional | 52 · Reduced service | $141.25 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | 53 · Discontinued | $56.23 | $56.23 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $60.26 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $39.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $190.55 Typical High $446.68 | Professional | 26 · Professional part | $181.97 | $190.55 | $446.68 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $676.08 Typical High $1,659.59 | Professional | 50 · Both sides | $524.81 | $676.08 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $177.83 Median $223.87 Typical High $549.54 | Professional | 51 · Multiple procedures | $177.83 | $223.87 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $89.13 Typical High $223.87 | Professional | 80 · Assistant surgeon | $70.79 | $89.13 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $48.98 Median $63.10 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $48.98 | $63.10 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $48.98 Median $63.10 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $48.98 | $63.10 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $63.10 Typical High $154.88 | Professional | AS · PA/NP assist | $48.98 | $63.10 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $269.15 | $281.84 | $660.69 |
Where South Carolina sits
The same service costs 2.9 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· 41st of 51
$363
HI $977FL $339
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.