How much rates vary
Facilitymedian $759 · 10th to 90th $617 to $1,514Professionalmedian $741 · 10th to 90th $427 to $1,259
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | None (both parts) | $616.60 | $616.60 | $758.58 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,148.15 | $1,258.93 | $1,258.93 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $741.31 Typical High $1,258.93 | Professional | None (both parts) | $363.08 | $741.31 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Facility | None | $758.58 | $758.58 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $549.54 | $549.54 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $691.83 Typical High $1,548.82 | Facility | None | $354.81 | $691.83 | $1,548.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | None (both parts) | $870.96 | $870.96 | $1,659.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $831.76 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $602.56 Typical High $741.31 | Professional | None (both parts) | $426.58 | $602.56 | $741.31 |
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 $346.74 Median $371.54 Typical High $870.96 | Professional | 26 · Professional part | $346.74 | $371.54 | $870.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,380.38 Typical High $3,311.31 | Professional | 50 · Both sides | $1,318.26 | $1,380.38 | $3,311.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $457.09 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $436.52 | $457.09 | $1,096.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $186.21 Typical High $436.52 | Professional | 80 · Assistant surgeon | $173.78 | $186.21 | $436.52 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $128.82 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $123.03 | $128.82 | $309.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $128.82 Typical High $309.03 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $128.82 | $309.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $128.82 Typical High $309.03 | Professional | AS · PA/NP assist | $123.03 | $128.82 | $309.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $562.34 Typical High $1,318.26 | Professional | TC · Technical part | $524.81 | $562.34 | $1,318.26 |
Where South Carolina sits
The same service costs 2.2 times more in Iowa 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· 24th of 51
$741
IA $1,230DE $550
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.