How much rates vary
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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $2,951.21 | Facility | None | $758.58 | $1,584.89 | $2,951.21 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,479.11 | Facility | None | $588.84 | $676.08 | $1,479.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $239.88 | $251.19 | $354.81 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $389.05 Typical High $676.08 | Professional | 50 · Both sides | $371.54 | $389.05 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $131.83 Typical High $229.09 | Professional | 51 · Multiple procedures | $123.03 | $131.83 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
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 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $109.65 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $52.48 Typical High $85.11 | Professional | 80 · Assistant surgeon | $50.12 | $52.48 | $85.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $36.31 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $34.67 | $36.31 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $36.31 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $36.31 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $36.31 Typical High $58.88 | Professional | AS · PA/NP assist | $34.67 | $36.31 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $257.04 | Professional | TC · Technical part | $147.91 | $162.18 | $257.04 |
Where South Carolina sits
The same service costs 45.7 times more in Colorado 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· 24th of 45
$537
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.