How much rates vary
Facilitymedian $71 · 10th to 90th $56 to $115Professionalmedian $66 · 10th to 90th $51 to $115
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $56.23 Typical High $91.20 | Professional | None (both parts) | $50.12 | $56.23 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $114.82 | Facility | None | $104.71 | $114.82 | $114.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $66.07 | $97.72 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Facility | None | $70.79 | $70.79 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $51.29 | $51.29 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | None | $56.23 | $56.23 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $67.61 Typical High $141.25 | Facility | None | $36.31 | $67.61 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $64.57 | $81.28 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $154.88 | Facility | None | $52.48 | $67.61 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $42.66 | $56.23 | $70.79 |
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 $33.11 Median $33.88 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $33.88 | $79.43 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $123.03 Typical High $302.00 | Professional | 50 · Both sides | $95.50 | $123.03 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $40.74 Typical High $100.00 | Professional | 51 · Multiple procedures | $32.36 | $40.74 | $100.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $16.22 Typical High $39.81 | Professional | 80 · Assistant surgeon | $12.88 | $16.22 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $11.48 Typical High $28.18 | Professional | 81 · Minimal assistant surgeon | $8.91 | $11.48 | $28.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $11.48 Typical High $28.18 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $11.48 | $28.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $11.48 Typical High $28.18 | Professional | AS · PA/NP assist | $8.91 | $11.48 | $28.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $120.23 | Professional | TC · Technical part | $48.98 | $51.29 | $120.23 |
Where South Carolina sits
The same service costs 2.8 times more in Wyoming 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· 38th of 51
$66.07
WY $145DE $51.29
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.