How much rates vary
Facilitymedian $1,202 · 10th to 90th $912 to $2,239Professionalmedian $1,349 · 10th to 90th $832 to $1,905
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,122.02 | Professional | None (both parts) | $912.01 | $912.01 | $1,122.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,698.24 | $1,905.46 | $1,905.46 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Facility | None | $1,202.26 | $1,202.26 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $870.96 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $1,023.29 Typical High $2,290.87 | Facility | None | $524.81 | $1,023.29 | $2,290.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $2,454.71 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $2,454.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $912.01 Typical High $1,122.02 | Professional | None (both parts) | $630.96 | $912.01 | $1,122.02 |
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 $537.03 Median $562.34 Typical High $1,318.26 | Professional | 26 · Professional part | $537.03 | $562.34 | $1,318.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,041.74 Typical High $4,897.79 | Professional | 50 · Both sides | $2,041.74 | $2,041.74 | $4,897.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $676.08 Typical High $1,621.81 | Professional | 51 · Multiple procedures | $676.08 | $676.08 | $1,621.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $269.15 Typical High $660.69 | Professional | 80 · Assistant surgeon | $269.15 | $269.15 | $660.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $190.55 Typical High $457.09 | Professional | 81 · Minimal assistant surgeon | $190.55 | $190.55 | $457.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $190.55 Typical High $457.09 | Professional | 82 · Assistant surgeon, no resident | $190.55 | $190.55 | $457.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $190.55 Typical High $457.09 | Professional | AS · PA/NP assist | $190.55 | $190.55 | $457.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $831.76 Typical High $1,949.84 | Professional | TC · Technical part | $812.83 | $831.76 | $1,949.84 |
Where South Carolina sits
The same service costs 2.2 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· 19th of 51
$1,259
MT $1,950DE $871
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.