How much rates vary
Facilitymedian $135 · 10th to 90th $135 to $331Professionalmedian $174 · 10th to 90th $123 to $282
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $134.90 | $134.90 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
BCBS Setting Facility Modifier None Typical Low $81.28 Median $281.84 Typical High $309.03 | Facility | None | $81.28 | $281.84 | $309.03 |
BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $169.82 | $173.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $97.72 | $97.72 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | None | $138.04 | $138.04 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $154.88 Typical High $338.84 | Facility | None | $79.43 | $154.88 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $154.88 | $199.53 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $93.33 | $134.90 | $165.96 |
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 $79.43 Median $83.18 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $83.18 | $194.98 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $229.09 Median $295.12 Typical High $724.44 | Professional | 50 · Both sides | $229.09 | $295.12 | $724.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $100.00 Typical High $245.47 | Professional | 51 · Multiple procedures | $77.62 | $100.00 | $245.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $39.81 Typical High $97.72 | Professional | 80 · Assistant surgeon | $30.90 | $39.81 | $97.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $27.54 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $21.38 | $27.54 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $27.54 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $27.54 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $27.54 Typical High $67.61 | Professional | AS · PA/NP assist | $21.38 | $27.54 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $117.49 | $123.03 | $295.12 |
Where South Carolina sits
The same service costs 2.3 times more in Kansas 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· 23rd of 51
$174
KS $282DE $120
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.