How much rates vary
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $3,467.37 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $3,467.37 |
BCBS South Carolina Setting Facility Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,011.87 | $5,623.41 | $5,623.41 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None (both parts) | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,691.53 Typical High $3,715.35 | Professional | None (both parts) | $2,691.53 | $2,691.53 | $3,715.35 |
Medcost Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $6,760.83 | Facility | None | $2,454.71 | $3,801.89 | $6,760.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,265.80 Typical High $7,413.10 | Professional | None (both parts) | $4,265.80 | $4,265.80 | $7,413.10 |
United Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,754.23 Typical High $3,890.45 | Professional | None (both parts) | $2,137.96 | $2,754.23 | $3,890.45 |
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 $1,698.24 Median $1,698.24 Typical High $3,890.45 | Professional | 26 · Professional part | $1,698.24 | $1,698.24 | $3,890.45 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6,456.54 Median $6,456.54 Typical High $14,791.08 | Professional | 50 · Both sides | $6,456.54 | $6,456.54 | $14,791.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,137.96 Median $2,137.96 Typical High $4,897.79 | Professional | 51 · Multiple procedures | $2,137.96 | $2,137.96 | $4,897.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $851.14 Median $851.14 Typical High $1,949.84 | Professional | 80 · Assistant surgeon | $851.14 | $851.14 | $1,949.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $602.56 Median $602.56 Typical High $1,380.38 | Professional | 81 · Minimal assistant surgeon | $602.56 | $602.56 | $1,380.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $602.56 Median $602.56 Typical High $1,380.38 | Professional | 82 · Assistant surgeon, no resident | $602.56 | $602.56 | $1,380.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $602.56 Median $602.56 Typical High $1,380.38 | Professional | AS · PA/NP assist | $602.56 | $602.56 | $1,380.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $5,888.44 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $5,888.44 |
Where South Carolina sits
The same service costs 2.7 times more in Hawaii than in Vermont. 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
$4,074
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.