How much rates vary
Facilitymedian $68 · 10th to 90th $42 to $115Professionalmedian $65 · 10th to 90th $42 to $93
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $41.69 | $41.69 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $93.33 | Facility | None | $83.18 | $93.33 | $93.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $64.57 | $83.18 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $48.98 | $48.98 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $114.82 | Facility | None | $33.11 | $45.71 | $114.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $75.86 | $75.86 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $36.31 | $52.48 | $66.07 |
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 $30.20 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $32.36 | $58.88 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $223.87 | Professional | 50 · Both sides | $114.82 | $114.82 | $223.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $38.02 Typical High $74.13 | Professional | 51 · Multiple procedures | $38.02 | $38.02 | $74.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.14 Median $15.14 Typical High $29.51 | Professional | 80 · Assistant surgeon | $15.14 | $15.14 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $10.72 Typical High $20.89 | Professional | 81 · Minimal assistant surgeon | $10.72 | $10.72 | $20.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $10.72 Typical High $20.89 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $10.72 | $20.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $10.72 Typical High $20.89 | Professional | AS · PA/NP assist | $10.72 | $10.72 | $20.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $48.98 Typical High $89.13 | Professional | TC · Technical part | $45.71 | $48.98 | $89.13 |
Where South Carolina sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 17th of 51
$64.57
HI $129UT $35.48
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.