How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,514 to $3,467Professionalmedian $1,950 · 10th to 90th $1,514 to $3,467
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $2,137.96 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,090.30 | $3,467.37 | $3,467.37 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,818.38 Typical High $3,467.37 | Professional | None (both parts) | $1,949.84 | $2,818.38 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $2,398.83 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,238.72 | $2,238.72 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $4,168.69 | Facility | None | $1,096.48 | $1,659.59 | $4,168.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,398.83 Typical High $4,466.84 | Professional | None (both parts) | $1,905.46 | $2,398.83 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,698.24 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,698.24 Typical High $2,570.40 | Professional | None (both parts) | $1,318.26 | $1,698.24 | $2,570.40 |
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 $758.58 Median $758.58 Typical High $1,071.52 | Professional | 52 · Reduced service | $758.58 | $758.58 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | 53 · Discontinued | $302.00 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $323.59 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $213.80 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $977.24 Median $1,023.29 Typical High $2,398.83 | Professional | 26 · Professional part | $977.24 | $1,023.29 | $2,398.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,630.78 Typical High $8,912.51 | Professional | 50 · Both sides | $2,884.03 | $3,630.78 | $8,912.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $954.99 Median $1,202.26 Typical High $3,019.95 | Professional | 51 · Multiple procedures | $954.99 | $1,202.26 | $3,019.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $380.19 Median $489.78 Typical High $1,202.26 | Professional | 80 · Assistant surgeon | $380.19 | $489.78 | $1,202.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $269.15 Median $338.84 Typical High $831.76 | Professional | 81 · Minimal assistant surgeon | $269.15 | $338.84 | $831.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $269.15 Median $338.84 Typical High $831.76 | Professional | 82 · Assistant surgeon, no resident | $269.15 | $338.84 | $831.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $338.84 Typical High $831.76 | Professional | AS · PA/NP assist | $269.15 | $338.84 | $831.76 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,513.56 Typical High $3,630.78 | Professional | TC · Technical part | $1,445.44 | $1,513.56 | $3,630.78 |
Where South Carolina sits
The same service costs 2.2 times more in Arkansas 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· 40th of 51
$1,950
AR $3,890DE $1,738
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.