How much rates vary
Facilitymedian $513 · 10th to 90th $407 to $851Professionalmedian $437 · 10th to 90th $372 to $851
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $407.38 | $407.38 | $501.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $851.14 | Facility | None | $758.58 | $851.14 | $851.14 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $851.14 | Professional | None (both parts) | $436.52 | $630.96 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $371.54 | $371.54 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | None | $363.08 | $363.08 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $1,023.29 | Facility | None | $229.09 | $446.68 | $1,023.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $457.09 Median $588.84 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $588.84 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $275.42 | $407.38 | $501.19 |
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 $239.88 Median $251.19 Typical High $588.84 | Professional | 26 · Professional part | $239.88 | $251.19 | $588.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $891.25 Typical High $2,187.76 | Professional | 50 · Both sides | $691.83 | $891.25 | $2,187.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $295.12 Typical High $724.44 | Professional | 51 · Multiple procedures | $229.09 | $295.12 | $724.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $117.49 Typical High $295.12 | Professional | 80 · Assistant surgeon | $93.33 | $117.49 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $83.18 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $64.57 | $83.18 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $83.18 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $83.18 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $83.18 Typical High $204.17 | Professional | AS · PA/NP assist | $64.57 | $83.18 | $204.17 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $371.54 Typical High $870.96 | Professional | TC · Technical part | $354.81 | $371.54 | $870.96 |
Where South Carolina sits
The same service costs 3.8 times more in Hawaii than in Delaware. 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· 34th of 51
$437
HI $1,413DE $372
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.