How much rates vary
Facilitymedian $525 · 10th to 90th $363 to $977Professionalmedian $617 · 10th to 90th $363 to $832
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $363.08 | $363.08 | $512.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $741.31 Median $831.76 Typical High $831.76 | Facility | None | $741.31 | $831.76 | $831.76 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Facility | None | $524.81 | $524.81 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $380.19 | $380.19 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $1,000.00 | Facility | None | $245.47 | $398.11 | $1,000.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $1,096.48 | Professional | None (both parts) | $616.60 | $616.60 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $302.00 | $407.38 | $549.54 |
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 $245.47 Median $245.47 Typical High $575.44 | Professional | 26 · Professional part | $245.47 | $245.47 | $575.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $912.01 Typical High $2,187.76 | Professional | 50 · Both sides | $912.01 | $912.01 | $2,187.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $309.03 Typical High $724.44 | Professional | 51 · Multiple procedures | $309.03 | $309.03 | $724.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $123.03 Typical High $288.40 | Professional | 80 · Assistant surgeon | $123.03 | $123.03 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $85.11 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $85.11 | $85.11 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $85.11 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $85.11 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $85.11 Typical High $204.17 | Professional | AS · PA/NP assist | $85.11 | $85.11 | $204.17 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $870.96 | Professional | TC · Technical part | $371.54 | $371.54 | $870.96 |
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· 18th of 51
$603
MT $871DE $380
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.