How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,047 to $8,318Professionalmedian $1,349 · 10th to 90th $661 to $1,445
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,445.44 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $8,317.64 | Facility | None | $2,511.89 | $2,754.23 | $8,317.64 |
Medcost Setting Facility Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $3,890.45 | Facility | None | $1,047.13 | $1,258.93 | $3,890.45 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,862.09 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,862.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $933.25 | Professional | 26 · Professional part | $537.03 | $537.03 | $933.25 |
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 Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,348.96 | Professional | None (both parts) | $562.34 | $794.33 | $1,348.96 |
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 $524.81 Median $524.81 Typical High $537.03 | Professional | 52 · Reduced service | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $208.93 | $208.93 | $213.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,995.26 Median $1,995.26 Typical High $3,235.94 | Professional | 50 · Both sides | $1,995.26 | $1,995.26 | $3,235.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $660.69 Median $660.69 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $660.69 | $660.69 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $269.15 Typical High $426.58 | Professional | 80 · Assistant surgeon | $269.15 | $269.15 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $186.21 | $186.21 | $302.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $186.21 | $302.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | AS · PA/NP assist | $186.21 | $186.21 | $302.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $2,137.96 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $2,137.96 |
Where South Carolina sits
The same service costs 102.3 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· 16th of 51
$1,349
TX $6,457AL $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.