How much rates vary
Facilitymedian $6,607 · 10th to 90th $4,677 to $12,589Professionalmedian $7,244 · 10th to 90th $4,677 to $10,471
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,677.35 Median $4,677.35 Typical High $6,456.54 | Professional | None (both parts) | $4,677.35 | $4,677.35 | $6,456.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $9,549.93 Median $10,471.29 Typical High $10,471.29 | Facility | None | $9,549.93 | $10,471.29 | $10,471.29 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $10,471.29 | $10,471.29 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,079.46 | Facility | None | $6,606.93 | $6,606.93 | $7,079.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $4,897.79 Typical High $6,606.93 | Professional | None (both parts) | $4,897.79 | $4,897.79 | $6,606.93 |
Medcost Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Medcost Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $12,882.50 | Facility | None | $2,951.21 | $5,128.61 | $12,882.50 |
Medcost Setting Professional Modifier None (both parts) Typical Low $7,244.36 Median $7,244.36 Typical High $13,803.84 | Professional | None (both parts) | $7,244.36 | $7,244.36 | $13,803.84 |
United Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
United Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $5,128.61 Typical High $6,918.31 | Professional | None (both parts) | $3,801.89 | $5,128.61 | $6,918.31 |
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 $691.83 Median $691.83 Typical High $977.24 | Professional | 55 · Aftercare only | $691.83 | $691.83 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | 56 · Pre-op care only | $467.74 | $467.74 | $645.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $2,884.03 Median $3,090.30 Typical High $7,244.36 | Professional | 26 · Professional part | $2,884.03 | $3,090.30 | $7,244.36 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $10,964.78 Median $11,481.54 Typical High $27,542.29 | Professional | 50 · Both sides | $10,964.78 | $11,481.54 | $27,542.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3,630.78 Median $3,801.89 Typical High $9,120.11 | Professional | 51 · Multiple procedures | $3,630.78 | $3,801.89 | $9,120.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,445.44 Median $1,548.82 Typical High $3,630.78 | Professional | 80 · Assistant surgeon | $1,445.44 | $1,548.82 | $3,630.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1,023.29 Median $1,071.52 Typical High $2,570.40 | Professional | 81 · Minimal assistant surgeon | $1,023.29 | $1,071.52 | $2,570.40 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1,023.29 Median $1,071.52 Typical High $2,570.40 | Professional | 82 · Assistant surgeon, no resident | $1,023.29 | $1,071.52 | $2,570.40 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1,023.29 Median $1,071.52 Typical High $2,570.40 | Professional | AS · PA/NP assist | $1,023.29 | $1,071.52 | $2,570.40 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $4,365.16 Median $4,677.35 Typical High $10,964.78 | Professional | TC · Technical part | $4,365.16 | $4,677.35 | $10,964.78 |
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· 20th of 51
$7,079
HI $11,220DE $4,898
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.