How much rates vary
Facilitymedian $275 · 10th to 90th $245 to $603Professionalmedian $251 · 10th to 90th $200 to $513
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $245.47 | $245.47 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $457.09 Median $512.86 Typical High $512.86 | Facility | None | $457.09 | $512.86 | $512.86 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $199.53 | $331.13 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $309.03 | Facility | None | $275.42 | $275.42 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $204.17 | $204.17 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $331.13 | Professional | None | $251.19 | $251.19 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $281.84 Typical High $616.60 | Facility | None | $144.54 | $281.84 | $616.60 |
Medcost Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $380.19 | $380.19 | $660.69 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $169.82 | $245.47 | $316.23 |
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 $151.36 Median $151.36 Typical High $354.81 | Professional | 26 · Professional part | $151.36 | $151.36 | $354.81 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $562.34 Typical High $1,318.26 | Professional | 50 · Both sides | $562.34 | $562.34 | $1,318.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $186.21 Typical High $446.68 | Professional | 51 · Multiple procedures | $186.21 | $186.21 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $75.86 Typical High $177.83 | Professional | 80 · Assistant surgeon | $75.86 | $75.86 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $52.48 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $52.48 | $52.48 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $52.48 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $52.48 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $52.48 Typical High $123.03 | Professional | AS · PA/NP assist | $52.48 | $52.48 | $123.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $537.03 | Professional | TC · Technical part | $223.87 | $223.87 | $537.03 |
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· 42nd of 51
$251
MT $513DE $204
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.