How much rates vary
Facilitymedian $417 · 10th to 90th $324 to $741Professionalmedian $427 · 10th to 90th $324 to $741
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $323.59 | $323.59 | $457.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $741.31 | Facility | None | $676.08 | $741.31 | $741.31 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $741.31 | Professional | None (both parts) | $426.58 | $616.60 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $302.00 | $302.00 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | None | $389.05 | $426.58 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $891.25 | Facility | None | $204.17 | $354.81 | $891.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $524.81 Typical High $977.24 | Professional | None (both parts) | $407.38 | $524.81 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $870.96 | Facility | None | $426.58 | $467.74 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $263.03 | $363.08 | $478.63 |
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 $162.18 Median $162.18 Typical High $229.09 | Professional | 52 · Reduced service | $162.18 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $93.33 | Professional | 53 · Discontinued | $64.57 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $45.71 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $45.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $218.78 Typical High $512.86 | Professional | 26 · Professional part | $208.93 | $218.78 | $512.86 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $776.25 Typical High $1,949.84 | Professional | 50 · Both sides | $616.60 | $776.25 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $263.03 Typical High $645.65 | Professional | 51 · Multiple procedures | $204.17 | $263.03 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $104.71 Typical High $257.04 | Professional | 80 · Assistant surgeon | $81.28 | $104.71 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $72.44 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $57.54 | $72.44 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $72.44 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $72.44 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $72.44 Typical High $181.97 | Professional | AS · PA/NP assist | $57.54 | $72.44 | $181.97 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $331.13 Typical High $776.25 | Professional | TC · Technical part | $316.23 | $331.13 | $776.25 |
Where South Carolina sits
The same service costs 3.9 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· 24th of 51
$427
HI $1,175DE $302
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.