How much rates vary
Facilitymedian $1,122 · 10th to 90th $955 to $2,188Professionalmedian $1,230 · 10th to 90th $955 to $2,188
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,348.96 | Professional | None (both parts) | $954.99 | $954.99 | $1,348.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,949.84 | $2,187.76 | $2,187.76 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,778.28 Typical High $2,187.76 | Professional | None (both parts) | $1,230.27 | $1,778.28 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,288.25 | Professional | None (both parts) | $831.76 | $831.76 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $2,630.27 | Facility | None | $588.84 | $1,071.52 | $2,630.27 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,548.82 Typical High $2,884.03 | Professional | None (both parts) | $1,202.26 | $1,548.82 | $2,884.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,454.71 | Facility | None | $1,047.13 | $1,202.26 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,071.52 Typical High $1,348.96 | Professional | None (both parts) | $758.58 | $1,071.52 | $1,348.96 |
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 $478.63 Median $478.63 Typical High $676.08 | Professional | 52 · Reduced service | $478.63 | $478.63 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | 53 · Discontinued | $190.55 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $204.17 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $134.90 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $134.90 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $645.65 Typical High $1,513.56 | Professional | 26 · Professional part | $616.60 | $645.65 | $1,513.56 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,290.87 Typical High $5,754.40 | Professional | 50 · Both sides | $1,819.70 | $2,290.87 | $5,754.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $602.56 Median $776.25 Typical High $1,905.46 | Professional | 51 · Multiple procedures | $602.56 | $776.25 | $1,905.46 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $239.88 Median $309.03 Typical High $758.58 | Professional | 80 · Assistant surgeon | $239.88 | $309.03 | $758.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $213.80 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $169.82 | $213.80 | $537.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $213.80 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $169.82 | $213.80 | $537.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $213.80 Typical High $537.03 | Professional | AS · PA/NP assist | $169.82 | $213.80 | $537.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $977.24 Typical High $2,290.87 | Professional | TC · Technical part | $912.01 | $977.24 | $2,290.87 |
Where South Carolina sits
The same service costs 3.1 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· 26th of 51
$1,230
HI $2,692DE $871
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.