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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | None (both parts) | $36.31 | $36.31 | $48.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $85.11 | Facility | None | $75.86 | $85.11 | $85.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $85.11 | Professional | None (both parts) | $44.67 | $67.61 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $64.57 | Facility | None | $57.54 | $57.54 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $41.69 | $41.69 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $39.81 Typical High $100.00 | Facility | None | $28.84 | $39.81 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $70.79 | $70.79 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $33.88 | $48.98 | $61.66 |
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 $28.18 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $30.20 | $52.48 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $107.15 Typical High $194.98 | Professional | 50 · Both sides | $107.15 | $107.15 | $194.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $35.48 Median $35.48 Typical High $66.07 | Professional | 51 · Multiple procedures | $35.48 | $35.48 | $66.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $14.13 Typical High $26.30 | Professional | 80 · Assistant surgeon | $14.13 | $14.13 | $26.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $10.00 Typical High $18.20 | Professional | 81 · Minimal assistant surgeon | $10.00 | $10.00 | $18.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $10.00 Typical High $18.20 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $10.00 | $18.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $10.00 Typical High $18.20 | Professional | AS · PA/NP assist | $10.00 | $10.00 | $18.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $45.71 | $79.43 |
Where South Carolina sits
The same service costs 3.2 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· 34th of 51
$50.12
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.