How much rates vary
Facilitymedian $3,802 · 10th to 90th $2,818 to $6,457Professionalmedian $4,266 · 10th to 90th $2,818 to $6,457
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $3,981.07 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $3,981.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $5,888.44 Median $6,456.54 Typical High $6,456.54 | Facility | None | $5,888.44 | $6,456.54 | $6,456.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $4,265.80 Typical High $6,456.54 | Professional | None (both parts) | $3,890.45 | $4,265.80 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $3,801.89 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $7,762.47 | Facility | None | $1,949.84 | $3,090.30 | $7,762.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $4,570.88 Typical High $8,511.38 | Professional | None (both parts) | $3,548.13 | $4,570.88 | $8,511.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None (both parts) | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $3,162.28 Typical High $4,570.88 | Professional | None (both parts) | $2,454.71 | $3,162.28 | $4,570.88 |
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 $1,819.70 Median $1,905.46 Typical High $4,466.84 | Professional | 26 · Professional part | $1,819.70 | $1,905.46 | $4,466.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $5,370.32 Median $6,760.83 Typical High $16,982.44 | Professional | 50 · Both sides | $5,370.32 | $6,760.83 | $16,982.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,778.28 Median $2,290.87 Typical High $5,623.41 | Professional | 51 · Multiple procedures | $1,778.28 | $2,290.87 | $5,623.41 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $707.95 Median $912.01 Typical High $2,238.72 | Professional | 80 · Assistant surgeon | $707.95 | $912.01 | $2,238.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $501.19 Median $630.96 Typical High $1,584.89 | Professional | 81 · Minimal assistant surgeon | $501.19 | $630.96 | $1,584.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $501.19 Median $630.96 Typical High $1,584.89 | Professional | 82 · Assistant surgeon, no resident | $501.19 | $630.96 | $1,584.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $501.19 Median $630.96 Typical High $1,584.89 | Professional | AS · PA/NP assist | $501.19 | $630.96 | $1,584.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $2,884.03 Typical High $6,760.83 | Professional | TC · Technical part | $2,754.23 | $2,884.03 | $6,760.83 |
Where South Carolina sits
The same service costs 4.7 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· 23rd of 51
$4,266
HI $12,882DE $2,754
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.