How much rates vary
Facilitymedian $60 · 10th to 90th $48 to $98Professionalmedian $48 · 10th to 90th $30 to $98
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 $44.67 Median $47.86 Typical High $60.26 | Facility | None | $44.67 | $47.86 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $47.86 | $47.86 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $83.18 | $87.10 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $97.72 | Facility | None | $87.10 | $97.72 | $97.72 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $30.20 | $48.98 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $66.07 | Facility | None | $60.26 | $60.26 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $43.65 | $43.65 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $47.86 Typical High $47.86 | Professional | None | $25.12 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $52.48 Typical High $117.49 | Facility | None | $30.90 | $52.48 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $128.82 | Professional | None (both parts) | $23.99 | $30.90 | $128.82 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $26.92 | $45.71 | $57.54 |
9 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | RR · Rental | $5.13 | $5.13 | $6.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $12.30 | $28.84 | $67.61 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $46.77 Typical High $257.04 | Professional | 50 · Both sides | $36.31 | $46.77 | $257.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.02 Median $15.49 Typical High $85.11 | Professional | 51 · Multiple procedures | $12.02 | $15.49 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.79 Median $6.17 Typical High $33.88 | Professional | 80 · Assistant surgeon | $4.79 | $6.17 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.39 Median $4.37 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $3.39 | $4.37 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.39 Median $4.37 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $3.39 | $4.37 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.39 Median $4.37 Typical High $23.99 | Professional | AS · PA/NP assist | $3.39 | $4.37 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $18.62 | $43.65 | $102.33 |
Where South Carolina sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 48th of 51
$47.86
KS $110FL $43.65
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.