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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | None (both parts) | $218.78 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | 26 · Professional part | $218.78 | $218.78 | $223.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $281.84 | $281.84 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $588.84 Typical High $1,737.80 | Facility | None | $537.03 | $588.84 | $1,737.80 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $812.83 | Facility | None | $218.78 | $263.03 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $281.84 | $281.84 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $112.20 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $338.84 | Facility | None | $257.04 | $257.04 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $117.49 | $169.82 | $281.84 |
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 $426.58 Median $426.58 Typical High $676.08 | Professional | 50 · Both sides | $426.58 | $426.58 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | 51 · Multiple procedures | $141.25 | $141.25 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $56.23 Typical High $91.20 | Professional | 80 · Assistant surgeon | $56.23 | $56.23 | $91.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $39.81 | $39.81 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $39.81 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | AS · PA/NP assist | $39.81 | $39.81 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | TC · Technical part | $257.04 | $257.04 | $446.68 |
Where South Carolina sits
The same service costs 12.0 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· 32nd of 51
$282
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.