How much rates vary
Facilitymedian $7,244 · 10th to 90th $2,818 to $22,387Professionalmedian $3,631 · 10th to 90th $1,820 to $4,365
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $2,884.03 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | 26 · Professional part | $2,818.38 | $2,818.38 | $2,818.38 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,890.45 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $7,413.10 Typical High $22,387.21 | Facility | None | $6,760.83 | $7,413.10 | $22,387.21 |
Medcost Setting Facility Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $10,471.29 | Facility | None | $2,818.38 | $3,388.44 | $10,471.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $5,011.87 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $5,011.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,445.44 Median $1,445.44 Typical High $2,511.89 | Professional | 26 · Professional part | $1,445.44 | $1,445.44 | $2,511.89 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,365.16 | Facility | None | $3,235.94 | $3,235.94 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,137.96 Typical High $3,630.78 | Professional | None (both parts) | $1,513.56 | $2,137.96 | $3,630.78 |
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 $1,412.54 Median $1,412.54 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | 53 · Discontinued | $562.34 | $562.34 | $575.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $5,370.32 Median $5,370.32 Typical High $8,709.64 | Professional | 50 · Both sides | $5,370.32 | $5,370.32 | $8,709.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,819.70 Median $1,819.70 Typical High $2,884.03 | Professional | 51 · Multiple procedures | $1,819.70 | $1,819.70 | $2,884.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $724.44 Median $724.44 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $724.44 | $724.44 | $1,148.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $501.19 Median $501.19 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $501.19 | $501.19 | $812.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $501.19 Median $501.19 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $501.19 | $501.19 | $812.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $501.19 Median $501.19 Typical High $812.83 | Professional | AS · PA/NP assist | $501.19 | $501.19 | $812.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3,311.31 Median $3,311.31 Typical High $5,754.40 | Professional | TC · Technical part | $3,311.31 | $3,311.31 | $5,754.40 |
Where South Carolina sits
The same service costs 8.9 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· 18th of 51
$3,631
TX $13,490NM $1,514
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.