How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,479 to $3,311Professionalmedian $1,950 · 10th to 90th $1,479 to $3,311
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $2,089.30 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $2,089.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,019.95 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,019.95 | $3,311.31 | $3,311.31 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,754.23 Typical High $3,311.31 | Professional | None (both parts) | $1,905.46 | $2,754.23 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,905.46 | $1,905.46 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $4,073.80 | Facility | None | $1,047.13 | $1,737.80 | $4,073.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,344.23 Typical High $4,365.16 | Professional | None (both parts) | $1,862.09 | $2,344.23 | $4,365.16 |
Molina Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $4,466.84 | Facility | None | $1,862.09 | $2,187.76 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,621.81 Typical High $2,454.71 | Professional | None (both parts) | $1,288.25 | $1,621.81 | $2,454.71 |
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 $724.44 Median $724.44 Typical High $1,047.13 | Professional | 52 · Reduced service | $724.44 | $724.44 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $416.87 | Professional | 53 · Discontinued | $295.12 | $295.12 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $977.24 Typical High $2,344.23 | Professional | 26 · Professional part | $933.25 | $977.24 | $2,344.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,548.13 Typical High $8,709.64 | Professional | 50 · Both sides | $2,754.23 | $3,548.13 | $8,709.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $912.01 Median $1,174.90 Typical High $2,884.03 | Professional | 51 · Multiple procedures | $912.01 | $1,174.90 | $2,884.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $467.74 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $371.54 | $467.74 | $1,148.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $331.13 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $257.04 | $331.13 | $812.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $331.13 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $257.04 | $331.13 | $812.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $331.13 Typical High $812.83 | Professional | AS · PA/NP assist | $257.04 | $331.13 | $812.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,479.11 Typical High $3,467.37 | Professional | TC · Technical part | $1,412.54 | $1,479.11 | $3,467.37 |
Where South Carolina sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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· 49th of 51
$1,950
HI $5,012DC $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.