How much rates vary
Facilitymedian $295 · 10th to 90th $257 to $525Professionalmedian $275 · 10th to 90th $234 to $525
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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $257.04 | $257.04 | $331.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $524.81 | Facility | None | $478.63 | $524.81 | $524.81 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $275.42 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $218.78 | $218.78 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | None | $251.19 | $251.19 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $281.84 Typical High $645.65 | Facility | None | $147.91 | $281.84 | $645.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $288.40 | $371.54 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $173.78 | $251.19 | $309.03 |
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 $147.91 Median $154.88 Typical High $371.54 | Professional | 26 · Professional part | $147.91 | $154.88 | $371.54 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $562.34 Typical High $1,380.38 | Professional | 50 · Both sides | $436.52 | $562.34 | $1,380.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $186.21 Typical High $457.09 | Professional | 51 · Multiple procedures | $144.54 | $186.21 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $74.13 Typical High $181.97 | Professional | 80 · Assistant surgeon | $57.54 | $74.13 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $52.48 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $40.74 | $52.48 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $52.48 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $52.48 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $40.74 Median $52.48 Typical High $128.82 | Professional | AS · PA/NP assist | $40.74 | $52.48 | $128.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $549.54 | Professional | TC · Technical part | $223.87 | $234.42 | $549.54 |
Where South Carolina sits
The same service costs 3.2 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· 35th of 51
$275
HI $708DE $219
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.