How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,413 to $3,236Professionalmedian $1,820 · 10th to 90th $1,413 to $3,236
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,995.26 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $3,235.94 | Facility | None | $2,884.03 | $3,235.94 | $3,235.94 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,630.27 Typical High $3,235.94 | Professional | None (both parts) | $1,819.70 | $2,630.27 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,698.24 | $1,698.24 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $3,890.45 | Facility | None | $1,023.29 | $1,548.82 | $3,890.45 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,290.87 Typical High $4,265.80 | Professional | None (both parts) | $1,778.28 | $2,290.87 | $4,265.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,698.24 | $1,949.84 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,584.89 Typical High $2,398.83 | Professional | None (both parts) | $1,230.27 | $1,584.89 | $2,398.83 |
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 $707.95 Median $707.95 Typical High $1,000.00 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | 53 · Discontinued | $281.84 | $281.84 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $199.53 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $912.01 Median $954.99 Typical High $2,238.72 | Professional | 26 · Professional part | $912.01 | $954.99 | $2,238.72 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,388.44 Typical High $8,511.38 | Professional | 50 · Both sides | $2,691.53 | $3,388.44 | $8,511.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $891.25 Median $1,148.15 Typical High $2,818.38 | Professional | 51 · Multiple procedures | $891.25 | $1,148.15 | $2,818.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $457.09 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $354.81 | $457.09 | $1,122.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $316.23 Typical High $794.33 | Professional | 81 · Minimal assistant surgeon | $251.19 | $316.23 | $794.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $316.23 Typical High $794.33 | Professional | 82 · Assistant surgeon, no resident | $251.19 | $316.23 | $794.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $316.23 Typical High $794.33 | Professional | AS · PA/NP assist | $251.19 | $316.23 | $794.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,445.44 Typical High $3,388.44 | Professional | TC · Technical part | $1,380.38 | $1,445.44 | $3,388.44 |
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· 47th of 51
$1,820
HI $4,365DE $1,820
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.