How much rates vary
Facilitymedian $302 · 10th to 90th $182 to $417Professionalmedian $240 · 10th to 90th $182 to $417
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $181.97 | $181.97 | $257.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $416.87 | Facility | None | $371.54 | $416.87 | $416.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $239.88 | $346.74 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $218.78 | $218.78 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $501.19 | Facility | None | $131.83 | $218.78 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $229.09 | $295.12 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
United Setting Facility Modifier None Typical Low $251.19 Median $549.54 Typical High $549.54 | Facility | None | $251.19 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $158.49 | $204.17 | $309.03 |
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 $91.20 Median $91.20 Typical High $128.82 | Professional | 52 · Reduced service | $91.20 | $91.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | 53 · Discontinued | $36.31 | $36.31 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $38.90 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $25.70 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $25.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $123.03 | $288.40 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $436.52 Typical High $1,096.48 | Professional | 50 · Both sides | $346.74 | $436.52 | $1,096.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $147.91 Typical High $363.08 | Professional | 51 · Multiple procedures | $114.82 | $147.91 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $58.88 Typical High $144.54 | Professional | 80 · Assistant surgeon | $45.71 | $58.88 | $144.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $40.74 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $32.36 | $40.74 | $102.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $40.74 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $40.74 | $102.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $40.74 Typical High $102.33 | Professional | AS · PA/NP assist | $32.36 | $40.74 | $102.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $186.21 | $436.52 |
Where South Carolina sits
The same service costs 2.5 times more in Hawaii than in Pennsylvania. 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· 42nd of 51
$240
HI $550PA $219
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.