How much rates vary
Facilitymedian $525 · 10th to 90th $380 to $1,047Professionalmedian $617 · 10th to 90th $380 to $871
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $380.19 | $380.19 | $537.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $870.96 | Facility | None | $776.25 | $870.96 | $870.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $524.81 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $524.81 | $616.60 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Facility | None | $524.81 | $524.81 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $389.05 | $389.05 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $1,047.13 | Facility | None | $257.04 | $416.87 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $1,148.15 | Professional | None (both parts) | $630.96 | $630.96 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
United 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 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $331.13 | $426.58 | $602.56 |
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 $57.54 Median $57.54 Typical High $81.28 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $53.70 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $257.04 Typical High $602.56 | Professional | 26 · Professional part | $251.19 | $257.04 | $602.56 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $933.25 Typical High $2,290.87 | Professional | 50 · Both sides | $933.25 | $933.25 | $2,290.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $309.03 Typical High $758.58 | Professional | 51 · Multiple procedures | $309.03 | $309.03 | $758.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $125.89 Typical High $302.00 | Professional | 80 · Assistant surgeon | $125.89 | $125.89 | $302.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $87.10 Median $87.10 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $87.10 | $87.10 | $213.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $87.10 Median $87.10 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $87.10 | $87.10 | $213.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $87.10 Typical High $213.80 | Professional | AS · PA/NP assist | $87.10 | $87.10 | $213.80 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $389.05 Typical High $912.01 | Professional | TC · Technical part | $371.54 | $389.05 | $912.01 |
Where South Carolina sits
The same service costs 3.2 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· 22nd of 51
$617
HI $1,259DE $389
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.