How much rates vary
Facilitymedian $1,230 · 10th to 90th $977 to $2,239Professionalmedian $1,148 · 10th to 90th $977 to $2,239
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,380.38 | Professional | None (both parts) | $977.24 | $977.24 | $1,380.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,041.74 | $2,238.72 | $2,238.72 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,548.82 Typical High $2,238.72 | Professional | None (both parts) | $1,023.29 | $1,548.82 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,318.26 | Professional | None (both parts) | $891.25 | $891.25 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,071.52 Typical High $2,691.53 | Facility | None | $630.96 | $1,071.52 | $2,691.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,584.89 Typical High $2,951.21 | Professional | None (both parts) | $1,230.27 | $1,584.89 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,096.48 Typical High $1,479.11 | Professional | None (both parts) | $812.83 | $1,096.48 | $1,479.11 |
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 $630.96 Median $660.69 Typical High $1,548.82 | Professional | 26 · Professional part | $630.96 | $660.69 | $1,548.82 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,344.23 Typical High $5,888.44 | Professional | 50 · Both sides | $1,862.09 | $2,344.23 | $5,888.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $794.33 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $616.60 | $794.33 | $1,949.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $316.23 Typical High $776.25 | Professional | 80 · Assistant surgeon | $245.47 | $316.23 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $218.78 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $173.78 | $218.78 | $549.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $218.78 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $218.78 | $549.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $218.78 Typical High $549.54 | Professional | AS · PA/NP assist | $173.78 | $218.78 | $549.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,000.00 Typical High $2,344.23 | Professional | TC · Technical part | $954.99 | $1,000.00 | $2,344.23 |
Where South Carolina sits
The same service costs 2.4 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· 42nd of 51
$1,175
MT $2,239DE $933
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.