How much rates vary
Facilitymedian $251 · 10th to 90th $214 to $437Professionalmedian $229 · 10th to 90th $191 to $437
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $213.80 | $213.80 | $257.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $398.11 Median $436.52 Typical High $436.52 | Facility | None | $398.11 | $436.52 | $436.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $229.09 | $331.13 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $181.97 | $181.97 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None | $218.78 | $218.78 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $239.88 Typical High $537.03 | Facility | None | $123.03 | $239.88 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $239.88 | $309.03 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $147.91 | $208.93 | $257.04 |
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 $123.03 Median $128.82 Typical High $309.03 | Professional | 26 · Professional part | $123.03 | $128.82 | $309.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $467.74 Typical High $1,148.15 | Professional | 50 · Both sides | $363.08 | $467.74 | $1,148.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $154.88 Typical High $380.19 | Professional | 51 · Multiple procedures | $120.23 | $154.88 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $61.66 Typical High $151.36 | Professional | 80 · Assistant surgeon | $47.86 | $61.66 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $43.65 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $33.88 | $43.65 | $107.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $43.65 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $43.65 | $107.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $43.65 Typical High $107.15 | Professional | AS · PA/NP assist | $33.88 | $43.65 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $194.98 | $457.09 |
Where South Carolina sits
The same service costs 2.5 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· 39th of 51
$229
MT $447DE $182
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.