How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,202 to $3,311Professionalmedian $1,549 · 10th to 90th $1,202 to $2,754
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,698.24 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,454.71 | $2,754.23 | $2,754.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,454.71 Typical High $2,754.23 | Professional | None (both parts) | $1,548.82 | $2,454.71 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,290.87 | Facility | None | $2,137.96 | $2,137.96 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $2,137.96 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $3,311.31 | Facility | None | $812.83 | $1,318.26 | $3,311.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $3,630.78 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $3,630.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,348.96 Typical High $1,905.46 | Professional | None (both parts) | $1,047.13 | $1,348.96 | $1,905.46 |
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 $794.33 Median $812.83 Typical High $1,905.46 | Professional | 26 · Professional part | $794.33 | $812.83 | $1,905.46 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $2,951.21 Typical High $7,244.36 | Professional | 50 · Both sides | $2,951.21 | $2,951.21 | $7,244.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,000.00 Typical High $2,398.83 | Professional | 51 · Multiple procedures | $1,000.00 | $1,000.00 | $2,398.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $398.11 Typical High $954.99 | Professional | 80 · Assistant surgeon | $398.11 | $398.11 | $954.99 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | 81 · Minimal assistant surgeon | $275.42 | $275.42 | $676.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | 82 · Assistant surgeon, no resident | $275.42 | $275.42 | $676.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | AS · PA/NP assist | $275.42 | $275.42 | $676.08 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,230.27 Typical High $2,884.03 | Professional | TC · Technical part | $1,174.90 | $1,230.27 | $2,884.03 |
Where South Carolina sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 32nd of 51
$1,585
HI $3,090DC $1,349
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.