How much rates vary
Facilitymedian $115 · 10th to 90th $85 to $219Professionalmedian $100 · 10th to 90th $81 to $174
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $85.11 | $85.11 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $85.11 Median $173.78 Typical High $229.09 | Facility | None | $85.11 | $173.78 | $229.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $100.00 | $144.54 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $85.11 | $85.11 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None | $79.43 | $79.43 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $89.13 Typical High $213.80 | Facility | None | $45.71 | $89.13 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $97.72 | $123.03 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $194.98 | Facility | None | $72.44 | $89.13 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $57.54 | $83.18 | $104.71 |
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 $50.12 Median $51.29 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $51.29 | $123.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $186.21 Typical High $457.09 | Professional | 50 · Both sides | $144.54 | $186.21 | $457.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $61.66 Typical High $151.36 | Professional | 51 · Multiple procedures | $48.98 | $61.66 | $151.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $24.55 Typical High $61.66 | Professional | 80 · Assistant surgeon | $19.50 | $24.55 | $61.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $17.38 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $13.49 | $17.38 | $42.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $17.38 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $17.38 | $42.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $17.38 Typical High $42.66 | Professional | AS · PA/NP assist | $13.49 | $17.38 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $77.62 | $181.97 |
Where South Carolina sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 23rd of 51
$100
HI $200DC $83.18
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.