How much rates vary
Facilitymedian $219 · 10th to 90th $155 to $316Professionalmedian $182 · 10th to 90th $151 to $316
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $154.88 | $154.88 | $269.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $316.23 | Facility | None | $281.84 | $316.23 | $316.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $181.97 | $257.04 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $158.49 | $158.49 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $380.19 | Facility | None | $100.00 | $181.97 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $173.78 | $223.87 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $416.87 | Facility | None | $204.17 | $204.17 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $117.49 | $154.88 | $194.98 |
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 $89.13 Median $93.33 Typical High $218.78 | Professional | 26 · Professional part | $89.13 | $93.33 | $218.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $331.13 Typical High $812.83 | Professional | 50 · Both sides | $263.03 | $331.13 | $812.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $112.20 Typical High $275.42 | Professional | 51 · Multiple procedures | $87.10 | $112.20 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $44.67 Typical High $109.65 | Professional | 80 · Assistant surgeon | $34.67 | $44.67 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $30.90 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $24.55 | $30.90 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $30.90 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $30.90 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $30.90 Typical High $75.86 | Professional | AS · PA/NP assist | $24.55 | $30.90 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $331.13 | Professional | TC · Technical part | $131.83 | $138.04 | $331.13 |
Where South Carolina sits
The same service costs 3.4 times more in Hawaii 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· 40th of 51
$182
HI $537AL $158
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.