How much rates vary
Facilitymedian $1,096 · 10th to 90th $661 to $1,479Professionalmedian $851 · 10th to 90th $661 to $1,479
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $933.25 | Professional | None (both parts) | $660.69 | $660.69 | $933.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,348.96 | $1,479.11 | $1,479.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,202.26 Typical High $1,479.11 | Professional | None (both parts) | $851.14 | $1,202.26 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None (both parts) | $812.83 | $812.83 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None | $794.33 | $794.33 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $724.44 Typical High $1,819.70 | Facility | None | $446.68 | $724.44 | $1,819.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,047.13 Typical High $1,949.84 | Professional | None (both parts) | $831.76 | $1,047.13 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,862.09 | Facility | None | $660.69 | $776.25 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $724.44 Typical High $1,047.13 | Professional | None (both parts) | $575.44 | $724.44 | $1,047.13 |
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 $331.13 Median $331.13 Typical High $467.74 | Professional | 52 · Reduced service | $331.13 | $331.13 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | 53 · Discontinued | $131.83 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $93.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $436.52 Typical High $1,047.13 | Professional | 26 · Professional part | $416.87 | $436.52 | $1,047.13 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,230.27 Median $1,584.89 Typical High $3,890.45 | Professional | 50 · Both sides | $1,230.27 | $1,584.89 | $3,890.45 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $407.38 Median $524.81 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $407.38 | $524.81 | $1,288.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $208.93 Typical High $524.81 | Professional | 80 · Assistant surgeon | $165.96 | $208.93 | $524.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $147.91 Typical High $363.08 | Professional | 81 · Minimal assistant surgeon | $114.82 | $147.91 | $363.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $147.91 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $147.91 | $363.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $114.82 Median $147.91 Typical High $363.08 | Professional | AS · PA/NP assist | $114.82 | $147.91 | $363.08 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $660.69 Typical High $1,548.82 | Professional | TC · Technical part | $630.96 | $660.69 | $1,548.82 |
Where South Carolina sits
The same service costs 2.2 times more in Hawaii than in Florida. 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
$851
HI $1,778FL $813
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.