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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $660.69 | Professional | None (both parts) | $537.03 | $537.03 | $660.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,000.00 | $1,096.48 | $1,096.48 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $602.56 Median $870.96 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $870.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $512.86 | $512.86 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $630.96 | Professional | None | $549.54 | $549.54 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $602.56 Typical High $1,348.96 | Facility | None | $309.03 | $602.56 | $1,348.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $616.60 Median $776.25 Typical High $1,318.26 | Professional | None (both parts) | $616.60 | $776.25 | $1,318.26 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,318.26 Typical High $1,318.26 | Facility | None | $316.23 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $371.54 | $524.81 | $660.69 |
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 $309.03 Median $323.59 Typical High $776.25 | Professional | 26 · Professional part | $309.03 | $323.59 | $776.25 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,174.90 Typical High $2,884.03 | Professional | 50 · Both sides | $912.01 | $1,174.90 | $2,884.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $407.38 Typical High $954.99 | Professional | 51 · Multiple procedures | $309.03 | $407.38 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $154.88 Typical High $389.05 | Professional | 80 · Assistant surgeon | $123.03 | $154.88 | $389.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $109.65 Typical High $269.15 | Professional | 81 · Minimal assistant surgeon | $85.11 | $109.65 | $269.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $109.65 Typical High $269.15 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $109.65 | $269.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $109.65 Typical High $269.15 | Professional | AS · PA/NP assist | $85.11 | $109.65 | $269.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $1,148.15 | Professional | TC · Technical part | $467.74 | $489.78 | $1,148.15 |
Where South Carolina sits
The same service costs 2.1 times more in Iowa than in New Hampshire. 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· 31st of 51
$603
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.