How much rates vary
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $77.62 | $77.62 | $102.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $177.83 | Facility | None | $158.49 | $177.83 | $177.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $177.83 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $56.23 | Facility | None | $52.48 | $52.48 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $52.48 | Professional | None (both parts) | $38.02 | $38.02 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $85.11 Typical High $208.93 | Facility | None | $28.84 | $85.11 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $177.83 | $177.83 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $70.79 | $107.15 | $151.36 |
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 $70.79 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $70.79 | $70.79 | $109.65 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $269.15 Median $269.15 Typical High $426.58 | Professional | 50 · Both sides | $269.15 | $269.15 | $426.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $89.13 Typical High $141.25 | Professional | 51 · Multiple procedures | $89.13 | $89.13 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $35.48 Typical High $57.54 | Professional | 80 · Assistant surgeon | $35.48 | $35.48 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $25.12 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $25.12 | $25.12 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $25.12 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $25.12 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $25.12 Typical High $39.81 | Professional | AS · PA/NP assist | $25.12 | $25.12 | $39.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | TC · Technical part | $107.15 | $107.15 | $165.96 |
Where South Carolina sits
The same service costs 5.4 times more in Hawaii than in New Hampshire. 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· 3rd of 51
$178
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.