How much rates vary
Facilitymedian $389 · 10th to 90th $331 to $1,950Professionalmedian $372 · 10th to 90th $309 to $1,047
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $346.74 Median $1,949.84 Typical High $3,311.31 | Facility | None | $346.74 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $346.74 | $346.74 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $218.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | TC · Technical part | $851.14 | $851.14 | $912.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $245.47 Median $331.13 Typical High $660.69 | Facility | None | $245.47 | $331.13 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $4,786.30 | Facility | None | $436.52 | $676.08 | $4,786.30 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $1,148.15 | Facility | None | $758.58 | $851.14 | $1,148.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $602.56 | Professional | None (both parts) | $346.74 | $346.74 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $588.84 | Professional | 26 · Professional part | $245.47 | $245.47 | $588.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $1,949.84 | Professional | TC · Technical part | $891.25 | $891.25 | $1,949.84 |
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 Facility Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $6,165.95 | Facility | None | $3,890.45 | $4,786.30 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $354.81 | $457.09 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $288.40 Typical High $524.81 | Professional | 26 · Professional part | $123.03 | $288.40 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $107.15 | $144.54 | $316.23 |
6 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $524.81 Typical High $1,659.59 | Professional | 50 · Both sides | $524.81 | $524.81 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $173.78 Median $173.78 Typical High $549.54 | Professional | 51 · Multiple procedures | $173.78 | $173.78 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $69.18 Typical High $218.78 | Professional | 80 · Assistant surgeon | $69.18 | $69.18 | $218.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $48.98 Median $48.98 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $48.98 | $48.98 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $48.98 Median $48.98 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $48.98 | $48.98 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $48.98 Typical High $154.88 | Professional | AS · PA/NP assist | $48.98 | $48.98 | $154.88 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska 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· 47th of 51
$372
AK $1,318AL $324
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.