How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,698 to $3,890Professionalmedian $2,138 · 10th to 90th $1,698 to $3,890
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,398.83 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,398.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,467.37 | $3,890.45 | $3,890.45 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $3,019.95 Typical High $3,890.45 | Professional | None (both parts) | $2,137.96 | $3,019.95 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,905.46 | $1,905.46 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $4,677.35 | Facility | None | $1,096.48 | $1,862.09 | $4,677.35 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,691.53 Typical High $5,011.87 | Professional | None (both parts) | $2,137.96 | $2,691.53 | $5,011.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $4,570.88 Typical High $4,570.88 | Facility | None | $1,819.70 | $4,570.88 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,905.46 Typical High $2,570.40 | Professional | None (both parts) | $1,412.54 | $1,905.46 | $2,570.40 |
10 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 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $239.88 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,148.15 Typical High $2,691.53 | Professional | 26 · Professional part | $1,096.48 | $1,148.15 | $2,691.53 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,162.28 Median $4,073.80 Typical High $10,000.00 | Professional | 50 · Both sides | $3,162.28 | $4,073.80 | $10,000.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,348.96 Typical High $3,388.44 | Professional | 51 · Multiple procedures | $1,071.52 | $1,348.96 | $3,388.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $426.58 Median $537.03 Typical High $1,348.96 | Professional | 80 · Assistant surgeon | $426.58 | $537.03 | $1,348.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $295.12 Median $380.19 Typical High $933.25 | Professional | 81 · Minimal assistant surgeon | $295.12 | $380.19 | $933.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $295.12 Median $380.19 Typical High $933.25 | Professional | 82 · Assistant surgeon, no resident | $295.12 | $380.19 | $933.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $380.19 Typical High $933.25 | Professional | AS · PA/NP assist | $295.12 | $380.19 | $933.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,698.24 Typical High $3,981.07 | Professional | TC · Technical part | $1,621.81 | $1,698.24 | $3,981.07 |
Where South Carolina sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 32nd of 51
$2,138
HI $4,074NJ $1,950
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.