How much rates vary
Facilitymedian $977 · 10th to 90th $676 to $1,820Professionalmedian $1,122 · 10th to 90th $676 to $1,549
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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $676.08 | $676.08 | $954.99 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,380.38 | $1,548.82 | $1,548.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Facility | None | $977.24 | $977.24 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | None (both parts) | $707.95 | $707.95 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,862.09 | Facility | None | $446.68 | $741.31 | $1,862.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,995.26 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,995.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $741.31 Typical High $1,023.29 | Professional | None (both parts) | $549.54 | $741.31 | $1,023.29 |
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 $446.68 Median $446.68 Typical High $1,071.52 | Professional | 26 · Professional part | $446.68 | $446.68 | $1,071.52 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $1,698.24 Typical High $3,981.07 | Professional | 50 · Both sides | $1,698.24 | $1,698.24 | $3,981.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $562.34 Median $562.34 Typical High $1,318.26 | Professional | 51 · Multiple procedures | $562.34 | $562.34 | $1,318.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $223.87 Typical High $537.03 | Professional | 80 · Assistant surgeon | $223.87 | $223.87 | $537.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $158.49 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $158.49 | $158.49 | $371.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $158.49 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $158.49 | $371.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $158.49 Typical High $371.54 | Professional | AS · PA/NP assist | $158.49 | $158.49 | $371.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,584.89 | Professional | TC · Technical part | $676.08 | $676.08 | $1,584.89 |
Where South Carolina sits
The same service costs 2.2 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
$1,122
MT $1,585DE $708
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.