How much rates vary
Facilitymedian $871 · 10th to 90th $513 to $1,175Professionalmedian $676 · 10th to 90th $513 to $1,175
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $512.86 | $512.86 | $724.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,071.52 | $1,174.90 | $1,174.90 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $676.08 Median $954.99 Typical High $1,174.90 | Professional | None (both parts) | $676.08 | $954.99 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $645.65 | $645.65 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | None | $549.54 | $549.54 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $588.84 Typical High $1,412.54 | Facility | None | $346.74 | $588.84 | $1,412.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $645.65 Median $831.76 Typical High $1,548.82 | Professional | None (both parts) | $645.65 | $831.76 | $1,548.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,479.11 | Facility | None | $616.60 | $645.65 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $446.68 | $575.44 | $812.83 |
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 $257.04 Median $257.04 Typical High $363.08 | Professional | 52 · Reduced service | $257.04 | $257.04 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 53 · Discontinued | $102.33 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $109.65 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $72.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $346.74 Typical High $812.83 | Professional | 26 · Professional part | $331.13 | $346.74 | $812.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $1,230.27 Typical High $3,090.30 | Professional | 50 · Both sides | $977.24 | $1,230.27 | $3,090.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $416.87 Typical High $1,023.29 | Professional | 51 · Multiple procedures | $323.59 | $416.87 | $1,023.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $165.96 Typical High $407.38 | Professional | 80 · Assistant surgeon | $128.82 | $165.96 | $407.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $114.82 Typical High $288.40 | Professional | 81 · Minimal assistant surgeon | $91.20 | $114.82 | $288.40 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $114.82 Typical High $288.40 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $114.82 | $288.40 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $114.82 Typical High $288.40 | Professional | AS · PA/NP assist | $91.20 | $114.82 | $288.40 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $524.81 Typical High $1,230.27 | Professional | TC · Technical part | $501.19 | $524.81 | $1,230.27 |
Where South Carolina sits
The same service costs 2.3 times more in Hawaii than in Pennsylvania. 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· 31st of 51
$676
HI $1,413PA $617
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.