How much rates vary
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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | None (both parts) | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $794.33 | Professional | None (both parts) | $741.31 | $741.31 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $4,570.88 | Facility | None | $1,412.54 | $1,548.82 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $2,137.96 | Facility | None | $575.44 | $691.83 | $2,137.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,047.13 | Professional | None (both parts) | $741.31 | $741.31 | $1,047.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | 26 · Professional part | $295.12 | $295.12 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $309.03 | $446.68 | $741.31 |
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 $288.40 Median $288.40 Typical High $295.12 | Professional | 52 · Reduced service | $288.40 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 53 · Discontinued | $114.82 | $114.82 | $117.49 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,122.02 Typical High $1,778.28 | Professional | 50 · Both sides | $1,122.02 | $1,122.02 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $371.54 Typical High $588.84 | Professional | 51 · Multiple procedures | $371.54 | $371.54 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $147.91 Typical High $239.88 | Professional | 80 · Assistant surgeon | $147.91 | $147.91 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $104.71 | $104.71 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $104.71 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | AS · PA/NP assist | $104.71 | $104.71 | $165.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Professional | TC · Technical part | $676.08 | $676.08 | $1,174.90 |
Where South Carolina sits
The same service costs 58.9 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· 21st of 51
$741
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.