How much rates vary
Facilitymedian $12,882 · 10th to 90th $9,333 to $21,380Professionalmedian $15,488 · 10th to 90th $9,333 to $21,380
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 $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $9,332.54 Typical High $13,182.57 | Professional | None (both parts) | $9,332.54 | $9,332.54 | $13,182.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $19,054.61 Median $21,379.62 Typical High $21,379.62 | Facility | None | $19,054.61 | $21,379.62 | $21,379.62 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $21,379.62 Median $21,379.62 Typical High $21,379.62 | Professional | None (both parts) | $21,379.62 | $21,379.62 | $21,379.62 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None (both parts) | $9,332.54 | $9,332.54 | $12,882.50 |
Medcost Setting Facility Modifier None Typical Low $6,309.57 Median $10,232.93 Typical High $25,703.96 | Facility | None | $6,309.57 | $10,232.93 | $25,703.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15,848.93 Median $15,848.93 Typical High $27,542.29 | Professional | None (both parts) | $15,848.93 | $15,848.93 | $27,542.29 |
United Setting Facility Modifier None Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Facility | None | $25,703.96 | $25,703.96 | $25,703.96 |
United Setting Professional Modifier None (both parts) Typical Low $7,762.47 Median $10,471.29 Typical High $14,125.38 | Professional | None (both parts) | $7,762.47 | $10,471.29 | $14,125.38 |
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 $6,309.57 Median $6,309.57 Typical High $14,791.08 | Professional | 26 · Professional part | $6,309.57 | $6,309.57 | $14,791.08 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $23,442.29 Median $23,442.29 Typical High $54,954.09 | Professional | 50 · Both sides | $23,442.29 | $23,442.29 | $54,954.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7,762.47 Median $7,762.47 Typical High $18,620.87 | Professional | 51 · Multiple procedures | $7,762.47 | $7,762.47 | $18,620.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3,162.28 Median $3,162.28 Typical High $7,413.10 | Professional | 80 · Assistant surgeon | $3,162.28 | $3,162.28 | $7,413.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2,187.76 Median $2,187.76 Typical High $5,128.61 | Professional | 81 · Minimal assistant surgeon | $2,187.76 | $2,187.76 | $5,128.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2,187.76 Median $2,187.76 Typical High $5,128.61 | Professional | 82 · Assistant surgeon, no resident | $2,187.76 | $2,187.76 | $5,128.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2,187.76 Median $2,187.76 Typical High $5,128.61 | Professional | AS · PA/NP assist | $2,187.76 | $2,187.76 | $5,128.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $9,332.54 Median $9,332.54 Typical High $22,387.21 | Professional | TC · Technical part | $9,332.54 | $9,332.54 | $22,387.21 |
Where South Carolina sits
The same service costs 2.3 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· 20th of 51
$15,136
MT $21,878DE $9,333
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.