How much rates vary
Facilitymedian $447 · 10th to 90th $339 to $776Professionalmedian $447 · 10th to 90th $339 to $776
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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $338.84 | $338.84 | $478.63 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $776.25 | Facility | None | $691.83 | $776.25 | $776.25 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $446.68 Median $645.65 Typical High $776.25 | Professional | None (both parts) | $446.68 | $645.65 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $331.13 | $331.13 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | None | $380.19 | $380.19 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $407.38 Typical High $933.25 | Facility | None | $229.09 | $407.38 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $426.58 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $549.54 | $1,023.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $954.99 | Facility | None | $467.74 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $295.12 | $380.19 | $524.81 |
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 $169.82 Median $169.82 Typical High $239.88 | Professional | 52 · Reduced service | $169.82 | $169.82 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | 53 · Discontinued | $67.61 | $67.61 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $47.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $229.09 Typical High $537.03 | Professional | 26 · Professional part | $218.78 | $229.09 | $537.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $812.83 Typical High $2,041.74 | Professional | 50 · Both sides | $645.65 | $812.83 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $213.80 Median $275.42 Typical High $676.08 | Professional | 51 · Multiple procedures | $213.80 | $275.42 | $676.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $109.65 Typical High $269.15 | Professional | 80 · Assistant surgeon | $85.11 | $109.65 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $75.86 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $60.26 | $75.86 | $190.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $75.86 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $60.26 | $75.86 | $190.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $75.86 Typical High $190.55 | Professional | AS · PA/NP assist | $60.26 | $75.86 | $190.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $331.13 | $346.74 | $812.83 |
Where South Carolina sits
The same service costs 2.8 times more in Iowa 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· 35th of 51
$447
IA $933DE $331
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.