How much rates vary
Facilitymedian $1,549 · 10th to 90th $589 to $4,677Professionalmedian $759 · 10th to 90th $380 to $912
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | None (both parts) | $588.84 | $588.84 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $588.84 | $588.84 | $588.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | None (both parts) | $758.58 | $758.58 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $4,677.35 | Facility | None | $1,445.44 | $1,584.89 | $4,677.35 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $2,187.76 | Facility | None | $588.84 | $707.95 | $2,187.76 |
Medcost Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $1,071.52 | Professional | None (both parts) | $758.58 | $758.58 | $1,071.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $537.03 | Professional | 26 · Professional part | $302.00 | $302.00 | $537.03 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $912.01 | Facility | None | $691.83 | $691.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $316.23 | $457.09 | $758.58 |
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 $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $117.49 | $120.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,148.15 Typical High $1,819.70 | Professional | 50 · Both sides | $1,148.15 | $1,148.15 | $1,819.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $380.19 Median $380.19 Typical High $602.56 | Professional | 51 · Multiple procedures | $380.19 | $380.19 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $151.36 Typical High $245.47 | Professional | 80 · Assistant surgeon | $151.36 | $151.36 | $245.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $107.15 | $107.15 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $107.15 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | AS · PA/NP assist | $107.15 | $107.15 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $1,202.26 | Professional | TC · Technical part | $691.83 | $691.83 | $1,202.26 |
Where South Carolina sits
The same service costs 12.0 times more in Texas than in Ohio. 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· 12th of 51
$759
TX $3,802OH $316
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.