How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,023 to $2,344Professionalmedian $1,318 · 10th to 90th $1,023 to $2,344
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,089.30 | $2,344.23 | $2,344.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,905.46 Typical High $2,344.23 | Professional | None (both parts) | $1,318.26 | $1,905.46 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,258.93 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,818.38 | Facility | None | $741.31 | $1,148.15 | $2,818.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,621.81 Typical High $3,019.95 | Professional | None (both parts) | $1,288.25 | $1,621.81 | $3,019.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,148.15 Typical High $1,698.24 | Professional | None (both parts) | $891.25 | $1,148.15 | $1,698.24 |
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 $512.86 Median $512.86 Typical High $724.44 | Professional | 52 · Reduced service | $512.86 | $512.86 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 53 · Discontinued | $204.17 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $144.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $691.83 Typical High $1,621.81 | Professional | 26 · Professional part | $645.65 | $691.83 | $1,621.81 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,454.71 Typical High $6,025.60 | Professional | 50 · Both sides | $1,905.46 | $2,454.71 | $6,025.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $812.83 Typical High $1,995.26 | Professional | 51 · Multiple procedures | $645.65 | $812.83 | $1,995.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $323.59 Typical High $812.83 | Professional | 80 · Assistant surgeon | $257.04 | $323.59 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $229.09 Typical High $562.34 | Professional | 81 · Minimal assistant surgeon | $177.83 | $229.09 | $562.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $229.09 Typical High $562.34 | Professional | 82 · Assistant surgeon, no resident | $177.83 | $229.09 | $562.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $229.09 Typical High $562.34 | Professional | AS · PA/NP assist | $177.83 | $229.09 | $562.34 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,023.29 Typical High $2,398.83 | Professional | TC · Technical part | $977.24 | $1,023.29 | $2,398.83 |
Where South Carolina sits
The same service costs 3.5 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· 42nd of 51
$1,318
HI $4,169DE $1,202
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.