How much rates vary
Facilitymedian $240 · 10th to 90th $89 to $708Professionalmedian $115 · 10th to 90th $58 to $132
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | None (both parts) | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 26 · Professional part | $89.13 | $89.13 | $91.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $630.96 | Facility | None | $616.60 | $616.60 | $630.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $114.82 | $114.82 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $707.95 | Facility | None | $218.78 | $288.40 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $331.13 | Facility | None | $89.13 | $107.15 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $114.82 | $114.82 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $45.71 | $79.43 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $138.04 | Facility | None | $102.33 | $102.33 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $47.86 | $69.18 | $114.82 |
9 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 $44.67 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $44.67 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.20 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $169.82 Typical High $275.42 | Professional | 50 · Both sides | $169.82 | $169.82 | $275.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $57.54 Typical High $91.20 | Professional | 51 · Multiple procedures | $57.54 | $57.54 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $22.91 Typical High $36.31 | Professional | 80 · Assistant surgeon | $22.91 | $22.91 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $15.85 | $15.85 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $15.85 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | AS · PA/NP assist | $15.85 | $15.85 | $25.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $104.71 | $181.97 |
Where South Carolina sits
The same service costs 12.0 times more in Texas than in Alabama. 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· 19th of 51
$115
TX $575AL $47.86
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.