How much rates vary
Facilitymedian $562 · 10th to 90th $316 to $871Professionalmedian $407 · 10th to 90th $316 to $724
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $316.23 | $316.23 | $446.68 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $724.44 | Facility | None | $645.65 | $724.44 | $724.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $398.11 Median $645.65 Typical High $724.44 | Professional | None (both parts) | $398.11 | $645.65 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Facility | None | $562.34 | $562.34 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $407.38 | $407.38 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $870.96 | Facility | None | $213.80 | $346.74 | $870.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $524.81 | $524.81 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $275.42 | $354.81 | $501.19 |
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 $47.86 Median $47.86 Typical High $67.61 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $44.67 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $213.80 Typical High $501.19 | Professional | 26 · Professional part | $208.93 | $213.80 | $501.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $776.25 Typical High $1,905.46 | Professional | 50 · Both sides | $776.25 | $776.25 | $1,905.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $263.03 Median $263.03 Typical High $630.96 | Professional | 51 · Multiple procedures | $263.03 | $263.03 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $104.71 Typical High $251.19 | Professional | 80 · Assistant surgeon | $104.71 | $104.71 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $72.44 Median $72.44 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $72.44 | $72.44 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $72.44 Median $72.44 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $72.44 | $72.44 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $72.44 Typical High $177.83 | Professional | AS · PA/NP assist | $72.44 | $72.44 | $177.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $758.58 | Professional | TC · Technical part | $309.03 | $323.59 | $758.58 |
Where South Carolina sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 41st of 51
$407
HI $1,047NJ $407
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.