How much rates vary
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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | None (both parts) | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $22.91 | $22.91 | $23.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $181.97 | Facility | None | $177.83 | $177.83 | $181.97 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | None (both parts) | $29.51 | $29.51 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $181.97 | Facility | None | $56.23 | $75.86 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $19.05 | $19.05 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $85.11 | Facility | None | $22.91 | $27.54 | $85.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $33.11 | $33.11 | $41.69 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $20.89 | Professional | 26 · Professional part | $13.18 | $13.18 | $20.89 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $35.48 | Facility | None | $26.92 | $26.92 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $17.78 Typical High $33.11 | Professional | None (both parts) | $12.30 | $17.78 | $33.11 |
7 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $48.98 Typical High $79.43 | Professional | 50 · Both sides | $48.98 | $48.98 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $16.60 Typical High $26.30 | Professional | 51 · Multiple procedures | $16.60 | $16.60 | $26.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.61 Median $6.61 Typical High $10.47 | Professional | 80 · Assistant surgeon | $6.61 | $6.61 | $10.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $4.57 Typical High $7.41 | Professional | 81 · Minimal assistant surgeon | $4.57 | $4.57 | $7.41 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $4.57 Typical High $7.41 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $4.57 | $7.41 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $4.57 Typical High $7.41 | Professional | AS · PA/NP assist | $4.57 | $4.57 | $7.41 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $30.20 | $47.86 |
Where South Carolina sits
The same service costs 7.6 times more in Texas than in New Mexico. 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· 23rd of 51
$29.51
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.