How much rates vary
Facilitymedian $132 · 10th to 90th $117 to $282Professionalmedian $117 · 10th to 90th $50 to $240
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 $117.49 Median $117.49 Typical High $245.47 | Facility | None | $117.49 | $117.49 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $117.49 | $117.49 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None (both parts) | $389.05 | $389.05 | $407.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $61.66 Median $239.88 Typical High $239.88 | Facility | None | $61.66 | $239.88 | $239.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $239.88 | Professional | None (both parts) | $50.12 | $83.18 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $144.54 | Facility | None | $131.83 | $131.83 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $95.50 | $95.50 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $288.40 | Facility | None | $67.61 | $131.83 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $173.78 | $173.78 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $79.43 | $114.82 | $141.25 |
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 $69.18 Median $70.79 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $70.79 | $165.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $257.04 Typical High $630.96 | Professional | 50 · Both sides | $257.04 | $257.04 | $630.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $85.11 Typical High $208.93 | Professional | 51 · Multiple procedures | $85.11 | $85.11 | $208.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $34.67 Typical High $83.18 | Professional | 80 · Assistant surgeon | $34.67 | $34.67 | $83.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $23.99 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $23.99 | $23.99 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $23.99 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $23.99 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $23.99 Typical High $58.88 | Professional | AS · PA/NP assist | $23.99 | $23.99 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $107.15 | $251.19 |
Where South Carolina sits
The same service costs 2.3 times more in Hawaii 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· 47th of 51
$117
HI $234DE $102
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.