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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | None (both parts) | $16.60 | $16.60 | $17.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $56.23 | Facility | None | $24.55 | $24.55 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $33.11 Typical High $42.66 | Facility | None | $19.50 | $33.11 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $22.39 | Facility | None | $16.60 | $18.20 | $22.39 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $20.42 | Professional | None (both parts) | $15.49 | $15.49 | $20.42 |
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 |
8 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 $6.17 Median $6.17 Typical High $6.17 | Professional | 26 · Professional part | $6.17 | $6.17 | $6.17 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 50 · Both sides | $22.91 | $22.91 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 51 · Multiple procedures | $7.76 | $7.76 | $7.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 80 · Assistant surgeon | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 81 · Minimal assistant surgeon | $2.14 | $2.14 | $2.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 82 · Assistant surgeon, no resident | $2.14 | $2.14 | $2.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | AS · PA/NP assist | $2.14 | $2.14 | $2.14 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | TC · Technical part | $9.12 | $9.12 | $9.12 |
Where South Carolina sits
The same service costs 4.9 times more in Montana than in North Dakota. 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· 19th of 51
$17.38
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.