How much rates vary
Facilitymedian $955 · 10th to 90th $603 to $1,230Professionalmedian $646 · 10th to 90th $550 to $1,230
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $602.56 | $602.56 | $724.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,122.02 | $1,230.27 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $549.54 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $549.54 | $851.14 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None (both parts) | $691.83 | $691.83 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $602.56 | Professional | None | $524.81 | $602.56 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $676.08 Typical High $1,513.56 | Facility | None | $346.74 | $676.08 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $676.08 Median $870.96 Typical High $1,621.81 | Professional | None (both parts) | $676.08 | $870.96 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $416.87 | $588.84 | $724.44 |
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 $346.74 Median $363.08 Typical High $870.96 | Professional | 26 · Professional part | $346.74 | $363.08 | $870.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,318.26 Typical High $3,235.94 | Professional | 50 · Both sides | $1,023.29 | $1,318.26 | $3,235.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $436.52 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $338.84 | $436.52 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $173.78 Typical High $426.58 | Professional | 80 · Assistant surgeon | $134.90 | $173.78 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $123.03 Typical High $302.00 | Professional | 81 · Minimal assistant surgeon | $95.50 | $123.03 | $302.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $123.03 Typical High $302.00 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $123.03 | $302.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $123.03 Typical High $302.00 | Professional | AS · PA/NP assist | $95.50 | $123.03 | $302.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $549.54 Typical High $1,288.25 | Professional | TC · Technical part | $524.81 | $549.54 | $1,288.25 |
Where South Carolina sits
The same service costs 2.0 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· 46th of 51
$661
HI $1,259DC $617
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.