How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,698 to $3,890Professionalmedian $2,570 · 10th to 90th $1,698 to $3,890
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,398.83 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,398.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,548.13 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,548.13 | $3,890.45 | $3,890.45 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $3,890.45 |
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 $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,905.46 | $1,905.46 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $4,677.35 | Facility | None | $1,096.48 | $1,905.46 | $4,677.35 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,754.23 Typical High $5,128.61 | Professional | None (both parts) | $2,137.96 | $2,754.23 | $5,128.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,905.46 Typical High $2,570.40 | Professional | None (both parts) | $1,412.54 | $1,905.46 | $2,570.40 |
10 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 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $239.88 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,096.48 Median $1,148.15 Typical High $2,691.53 | Professional | 26 · Professional part | $1,096.48 | $1,148.15 | $2,691.53 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,235.94 Median $4,073.80 Typical High $10,232.93 | Professional | 50 · Both sides | $3,235.94 | $4,073.80 | $10,232.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,380.38 Typical High $3,388.44 | Professional | 51 · Multiple procedures | $1,071.52 | $1,380.38 | $3,388.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $426.58 Median $549.54 Typical High $1,348.96 | Professional | 80 · Assistant surgeon | $426.58 | $549.54 | $1,348.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $380.19 Typical High $954.99 | Professional | 81 · Minimal assistant surgeon | $302.00 | $380.19 | $954.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $380.19 Typical High $954.99 | Professional | 82 · Assistant surgeon, no resident | $302.00 | $380.19 | $954.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $380.19 Typical High $954.99 | Professional | AS · PA/NP assist | $302.00 | $380.19 | $954.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,737.80 Typical High $4,073.80 | Professional | TC · Technical part | $1,659.59 | $1,737.80 | $4,073.80 |
Where South Carolina sits
The same service costs 2.3 times more in Montana 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· 21st of 51
$2,570
MT $4,074DE $1,778
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.