How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,820 to $4,169Professionalmedian $2,754 · 10th to 90th $1,820 to $4,169
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,570.40 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $4,168.69 | Facility | None | $3,715.35 | $4,168.69 | $4,168.69 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,754.23 Typical High $4,168.69 | Professional | None (both parts) | $2,511.89 | $2,754.23 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $2,454.71 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,398.83 | Professional | None | $2,041.74 | $2,041.74 | $2,398.83 |
Medcost Setting Facility Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $5,011.87 | Facility | None | $1,174.90 | $1,995.26 | $5,011.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,951.21 Typical High $5,495.41 | Professional | None (both parts) | $2,290.87 | $2,951.21 | $5,495.41 |
Molina Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,995.26 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,041.74 Typical High $2,754.23 | Professional | None (both parts) | $1,513.56 | $2,041.74 | $2,754.23 |
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 $912.01 Median $912.01 Typical High $1,288.25 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | 53 · Discontinued | $363.08 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,174.90 Median $1,230.27 Typical High $2,884.03 | Professional | 26 · Professional part | $1,174.90 | $1,230.27 | $2,884.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,467.37 Median $4,365.16 Typical High $10,964.78 | Professional | 50 · Both sides | $3,467.37 | $4,365.16 | $10,964.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,148.15 Median $1,479.11 Typical High $3,630.78 | Professional | 51 · Multiple procedures | $1,148.15 | $1,479.11 | $3,630.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $457.09 Median $588.84 Typical High $1,445.44 | Professional | 80 · Assistant surgeon | $457.09 | $588.84 | $1,445.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $323.59 Median $407.38 Typical High $1,023.29 | Professional | 81 · Minimal assistant surgeon | $323.59 | $407.38 | $1,023.29 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $323.59 Median $407.38 Typical High $1,023.29 | Professional | 82 · Assistant surgeon, no resident | $323.59 | $407.38 | $1,023.29 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $323.59 Median $407.38 Typical High $1,023.29 | Professional | AS · PA/NP assist | $323.59 | $407.38 | $1,023.29 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,862.09 Typical High $4,365.16 | Professional | TC · Technical part | $1,737.80 | $1,862.09 | $4,365.16 |
Where South Carolina sits
The same service costs 2.5 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· 22nd of 51
$2,754
HI $4,365DE $1,738
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.