How much rates vary
Facilitymedian $708 · 10th to 90th $355 to $813Professionalmedian $468 · 10th to 90th $355 to $813
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $354.81 | $354.81 | $501.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $724.44 Median $812.83 Typical High $812.83 | Facility | None | $724.44 | $812.83 | $812.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $457.09 Median $724.44 Typical High $812.83 | Professional | None (both parts) | $457.09 | $724.44 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $602.56 | $602.56 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $977.24 | Facility | None | $257.04 | $407.38 | $977.24 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $446.68 | $562.34 | $1,047.13 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $1,071.52 | Facility | None | $398.11 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $309.03 | $398.11 | $588.84 |
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 $177.83 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $177.83 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $100.00 | Professional | 53 · Discontinued | $70.79 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $50.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $239.88 Typical High $562.34 | Professional | 26 · Professional part | $229.09 | $239.88 | $562.34 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $851.14 Typical High $2,089.30 | Professional | 50 · Both sides | $660.69 | $851.14 | $2,089.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $295.12 Typical High $707.95 | Professional | 51 · Multiple procedures | $223.87 | $295.12 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $114.82 Typical High $281.84 | Professional | 80 · Assistant surgeon | $89.13 | $114.82 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $79.43 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $61.66 | $79.43 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $79.43 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $79.43 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $79.43 Typical High $194.98 | Professional | AS · PA/NP assist | $61.66 | $79.43 | $194.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $354.81 Typical High $851.14 | Professional | TC · Technical part | $338.84 | $354.81 | $851.14 |
Where South Carolina sits
The same service costs 2.0 times more in Iowa than in Florida. 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· 50th of 51
$479
IA $891FL $447
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.