How much rates vary
Facilitymedian $10,715 · 10th to 90th $4,074 to $32,359Professionalmedian $5,248 · 10th to 90th $2,630 to $6,026
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 $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,073.80 Median $4,073.80 Typical High $4,168.69 | Professional | None (both parts) | $4,073.80 | $4,073.80 | $4,168.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | 26 · Professional part | $4,073.80 | $4,073.80 | $4,073.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $5,623.41 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $9,772.37 Median $10,964.78 Typical High $32,359.37 | Facility | None | $9,772.37 | $10,964.78 | $32,359.37 |
Medcost Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $15,135.61 | Facility | None | $4,073.80 | $4,897.79 | $15,135.61 |
Medcost Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $7,244.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $2,089.30 Median $2,089.30 Typical High $3,630.78 | Professional | 26 · Professional part | $2,089.30 | $2,089.30 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,162.28 Typical High $5,248.07 | Professional | None (both parts) | $2,187.76 | $3,162.28 | $5,248.07 |
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 $2,041.74 Median $2,041.74 Typical High $2,089.30 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 53 · Discontinued | $812.83 | $812.83 | $831.76 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $7,762.47 Median $7,762.47 Typical High $12,589.25 | Professional | 50 · Both sides | $7,762.47 | $7,762.47 | $12,589.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,630.27 Median $2,630.27 Typical High $4,168.69 | Professional | 51 · Multiple procedures | $2,630.27 | $2,630.27 | $4,168.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,047.13 Median $1,047.13 Typical High $1,659.59 | Professional | 80 · Assistant surgeon | $1,047.13 | $1,047.13 | $1,659.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Professional | 81 · Minimal assistant surgeon | $724.44 | $724.44 | $1,174.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Professional | 82 · Assistant surgeon, no resident | $724.44 | $724.44 | $1,174.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Professional | AS · PA/NP assist | $724.44 | $724.44 | $1,174.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $4,786.30 Median $4,786.30 Typical High $8,317.64 | Professional | TC · Technical part | $4,786.30 | $4,786.30 | $8,317.64 |
Where South Carolina sits
The same service costs 416.9 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· 18th of 51
$5,248
TX $26,303AL $63.10
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.