How much rates vary
Facilitymedian $229 · 10th to 90th $170 to $347Professionalmedian $182 · 10th to 90th $162 to $347
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $169.82 | $169.82 | $204.17 |
BCBS South Carolina Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $346.74 | Facility | None | $316.23 | $346.74 | $346.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $181.97 | $257.04 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $245.47 | Facility | None | $229.09 | $229.09 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $165.96 | $165.96 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $891.25 | Professional | None | $169.82 | $169.82 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $426.58 | Facility | None | $97.72 | $190.55 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $190.55 | $245.47 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $117.49 | $165.96 | $204.17 |
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 $97.72 Median $102.33 Typical High $239.88 | Professional | 26 · Professional part | $97.72 | $102.33 | $239.88 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $380.19 Typical High $912.01 | Professional | 50 · Both sides | $288.40 | $380.19 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $125.89 Typical High $302.00 | Professional | 51 · Multiple procedures | $95.50 | $125.89 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $51.29 Typical High $120.23 | Professional | 80 · Assistant surgeon | $38.02 | $51.29 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $35.48 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $26.92 | $35.48 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $35.48 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $35.48 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $35.48 Typical High $85.11 | Professional | AS · PA/NP assist | $26.92 | $35.48 | $85.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $147.91 | $154.88 | $363.08 |
Where South Carolina sits
The same service costs 4.8 times more in Kansas than in New Jersey. 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· 37th of 51
$182
KS $794NJ $166
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.