How much rates vary
Facilitymedian $174 · 10th to 90th $148 to $363Professionalmedian $158 · 10th to 90th $135 to $302
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 $147.91 Median $147.91 Typical High $309.03 | Facility | None | $147.91 | $147.91 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $147.91 | $147.91 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $229.09 | $229.09 | $457.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $77.62 Median $302.00 Typical High $302.00 | Facility | None | $77.62 | $302.00 | $302.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $158.49 | $229.09 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $128.82 | $128.82 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $165.96 Typical High $371.54 | Facility | None | $85.11 | $165.96 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $218.78 | $218.78 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $102.33 | $144.54 | $177.83 |
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 $87.10 Median $89.13 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $89.13 | $213.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $331.13 Typical High $794.33 | Professional | 50 · Both sides | $331.13 | $331.13 | $794.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $109.65 Typical High $263.03 | Professional | 51 · Multiple procedures | $109.65 | $109.65 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $43.65 Typical High $104.71 | Professional | 80 · Assistant surgeon | $43.65 | $43.65 | $104.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $30.90 Typical High $74.13 | Professional | 81 · Minimal assistant surgeon | $30.90 | $30.90 | $74.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $30.90 Typical High $74.13 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $30.90 | $74.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $30.90 Typical High $74.13 | Professional | AS · PA/NP assist | $30.90 | $30.90 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $134.90 | $316.23 |
Where South Carolina sits
The same service costs 2.3 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· 41st of 51
$158
MT $295DE $129
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.