How much rates vary
Facilitymedian $912 · 10th to 90th $676 to $1,738Professionalmedian $1,000 · 10th to 90th $776 to $1,738
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None (both parts) | $776.25 | $776.25 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,584.89 | $1,737.80 | $1,737.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,445.44 Typical High $1,737.80 | Professional | None (both parts) | $1,000.00 | $1,445.44 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $660.69 | $660.69 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $851.14 | Professional | None | $776.25 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $2,137.96 | Facility | None | $416.87 | $851.14 | $2,137.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,230.27 Typical High $2,290.87 | Professional | None (both parts) | $954.99 | $1,230.27 | $2,290.87 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $1,737.80 | Facility | None | $575.44 | $676.08 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $575.44 | $851.14 | $1,023.29 |
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 $380.19 Median $380.19 Typical High $512.86 | Professional | 52 · Reduced service | $380.19 | $380.19 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | 53 · Discontinued | $154.88 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $512.86 Typical High $1,230.27 | Professional | 26 · Professional part | $489.78 | $512.86 | $1,230.27 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,862.09 Typical High $4,570.88 | Professional | 50 · Both sides | $1,445.44 | $1,862.09 | $4,570.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $616.60 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $478.63 | $616.60 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $245.47 Typical High $602.56 | Professional | 80 · Assistant surgeon | $194.98 | $245.47 | $602.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $173.78 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $134.90 | $173.78 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $173.78 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $134.90 | $173.78 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $173.78 Typical High $426.58 | Professional | AS · PA/NP assist | $134.90 | $173.78 | $426.58 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $776.25 Typical High $1,819.70 | Professional | TC · Technical part | $741.31 | $776.25 | $1,819.70 |
Where South Carolina sits
The same service costs 2.3 times more in Hawaii than in Delaware. 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· 18th of 51
$1,000
HI $1,514DE $661
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.