How much rates vary
Facilitymedian $912 · 10th to 90th $813 to $1,738Professionalmedian $813 · 10th to 90th $302 to $1,698
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $812.83 Typical High $1,445.44 | Professional | None (both parts) | $776.25 | $812.83 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,513.56 | $1,698.24 | $1,698.24 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $1,698.24 | Professional | None (both parts) | $302.00 | $446.68 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Facility | None | $912.01 | $912.01 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,000.00 | Professional | None (both parts) | $660.69 | $660.69 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $851.14 Typical High $2,041.74 | Facility | None | $407.38 | $851.14 | $2,041.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $2,187.76 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $2,187.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $776.25 Typical High $1,000.00 | Professional | None (both parts) | $524.81 | $776.25 | $1,000.00 |
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 $467.74 Median $501.19 Typical High $1,174.90 | Professional | 26 · Professional part | $467.74 | $501.19 | $1,174.90 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $1,819.70 Typical High $4,365.16 | Professional | 50 · Both sides | $1,737.80 | $1,819.70 | $4,365.16 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $575.44 Median $616.60 Typical High $1,445.44 | Professional | 51 · Multiple procedures | $575.44 | $616.60 | $1,445.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $245.47 Typical High $588.84 | Professional | 80 · Assistant surgeon | $229.09 | $245.47 | $588.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $162.18 Median $169.82 Typical High $407.38 | Professional | 81 · Minimal assistant surgeon | $162.18 | $169.82 | $407.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $162.18 Median $169.82 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $162.18 | $169.82 | $407.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $169.82 Typical High $407.38 | Professional | AS · PA/NP assist | $162.18 | $169.82 | $407.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $741.31 Typical High $1,737.80 | Professional | TC · Technical part | $691.83 | $741.31 | $1,737.80 |
Where South Carolina sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 32nd of 51
$813
HI $1,585AZ $631
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.