How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,995 to $4,571Professionalmedian $2,754 · 10th to 90th $1,995 to $4,571
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $2,818.38 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $2,818.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,168.69 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,168.69 | $4,570.88 | $4,570.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,981.07 Typical High $4,570.88 | Professional | None (both parts) | $2,754.23 | $3,981.07 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,691.53 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
Medcost Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $5,495.41 | Facility | None | $1,288.25 | $2,238.72 | $5,495.41 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $3,235.94 Typical High $6,025.60 | Professional | None (both parts) | $2,511.89 | $3,235.94 | $6,025.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $5,495.41 Typical High $5,495.41 | Facility | None | $2,187.76 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,238.72 Typical High $3,019.95 | Professional | None (both parts) | $1,659.59 | $2,238.72 | $3,019.95 |
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 $1,000.00 Median $1,000.00 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | 53 · Discontinued | $407.38 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $281.84 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,288.25 Median $1,348.96 Typical High $3,162.28 | Professional | 26 · Professional part | $1,288.25 | $1,348.96 | $3,162.28 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $4,897.79 Typical High $12,022.64 | Professional | 50 · Both sides | $3,801.89 | $4,897.79 | $12,022.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,258.93 Median $1,621.81 Typical High $3,981.07 | Professional | 51 · Multiple procedures | $1,258.93 | $1,621.81 | $3,981.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $645.65 Typical High $1,584.89 | Professional | 80 · Assistant surgeon | $512.86 | $645.65 | $1,584.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $457.09 Typical High $1,122.02 | Professional | 81 · Minimal assistant surgeon | $354.81 | $457.09 | $1,122.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $457.09 Typical High $1,122.02 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $457.09 | $1,122.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $457.09 Typical High $1,122.02 | Professional | AS · PA/NP assist | $354.81 | $457.09 | $1,122.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $2,041.74 Typical High $4,786.30 | Professional | TC · Technical part | $1,949.84 | $2,041.74 | $4,786.30 |
Where South Carolina sits
The same service costs 2.6 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· 27th of 51
$2,754
HI $4,786DE $1,820
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.