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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $199.53 | Facility | None | $181.97 | $199.53 | $199.53 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $120.23 | $173.78 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $123.03 | Facility | None | $112.20 | $112.20 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $81.28 | $81.28 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $239.88 | Facility | None | $56.23 | $109.65 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $138.04 | $138.04 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $67.61 | $95.50 | $117.49 |
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 $54.95 Median $58.88 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $58.88 | $138.04 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $204.17 Median $218.78 Typical High $524.81 | Professional | 50 · Both sides | $204.17 | $218.78 | $524.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $72.44 Typical High $173.78 | Professional | 51 · Multiple procedures | $69.18 | $72.44 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $28.84 Typical High $69.18 | Professional | 80 · Assistant surgeon | $27.54 | $28.84 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $20.42 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $19.05 | $20.42 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $20.42 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $20.42 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $20.42 Typical High $48.98 | Professional | AS · PA/NP assist | $19.05 | $20.42 | $48.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $89.13 | $208.93 |
Where South Carolina sits
The same service costs 2.6 times more in Montana 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· 22nd of 51
$120
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.