How much rates vary
Facilitymedian $1,445 · 10th to 90th $646 to $4,467Professionalmedian $724 · 10th to 90th $363 to $832
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 Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | None (both parts) | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 26 · Professional part | $562.34 | $562.34 | $575.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | None (both parts) | $724.44 | $724.44 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,348.96 | $1,513.56 | $4,466.84 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $2,089.30 | Facility | None | $562.34 | $676.08 | $2,089.30 |
Medcost Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $1,000.00 | Professional | None (both parts) | $724.44 | $724.44 | $1,000.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $501.19 | Professional | 26 · Professional part | $288.40 | $288.40 | $501.19 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $870.96 | Facility | None | $645.65 | $645.65 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $724.44 | Professional | None (both parts) | $302.00 | $436.52 | $724.44 |
10 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 Facility Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $112.20 | $114.82 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,071.52 Typical High $1,737.80 | Professional | 50 · Both sides | $1,071.52 | $1,071.52 | $1,737.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $363.08 Typical High $575.44 | Professional | 51 · Multiple procedures | $363.08 | $363.08 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $144.54 Typical High $229.09 | Professional | 80 · Assistant surgeon | $144.54 | $144.54 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $100.00 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $100.00 | $100.00 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $100.00 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $100.00 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $100.00 Typical High $162.18 | Professional | AS · PA/NP assist | $100.00 | $100.00 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $1,148.15 | Professional | TC · Technical part | $660.69 | $660.69 | $1,148.15 |
Where South Carolina sits
The same service costs 10.2 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· 21st of 51
$724
TX $3,090AL $302
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.