How much rates vary
Facilitymedian $724 · 10th to 90th $589 to $1,318Professionalmedian $724 · 10th to 90th $589 to $1,318
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $831.76 | Professional | None (both parts) | $588.84 | $588.84 | $831.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,202.26 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,000.00 Typical High $1,318.26 | Professional | None (both parts) | $707.95 | $1,000.00 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $524.81 | $524.81 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $758.58 | Professional | None | $660.69 | $660.69 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $1,621.81 | Facility | None | $371.54 | $645.65 | $1,621.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $724.44 Median $933.25 Typical High $1,737.80 | Professional | None (both parts) | $724.44 | $933.25 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $478.63 | $645.65 | $870.96 |
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 $87.10 Median $87.10 Typical High $123.03 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $83.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $389.05 Typical High $933.25 | Professional | 26 · Professional part | $371.54 | $389.05 | $933.25 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,412.54 Typical High $3,467.37 | Professional | 50 · Both sides | $1,096.48 | $1,412.54 | $3,467.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $467.74 Typical High $1,148.15 | Professional | 51 · Multiple procedures | $363.08 | $467.74 | $1,148.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $186.21 Typical High $457.09 | Professional | 80 · Assistant surgeon | $144.54 | $186.21 | $457.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $131.83 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $102.33 | $131.83 | $323.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $131.83 Typical High $323.59 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $131.83 | $323.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $131.83 Typical High $323.59 | Professional | AS · PA/NP assist | $102.33 | $131.83 | $323.59 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $588.84 Typical High $1,380.38 | Professional | TC · Technical part | $562.34 | $588.84 | $1,380.38 |
Where South Carolina sits
The same service costs 2.4 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· 39th of 51
$724
HI $1,349DE $562
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.