How much rates vary
Facilitymedian $1,380 · 10th to 90th $1,096 to $2,951Professionalmedian $1,514 · 10th to 90th $1,096 to $2,512
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,548.82 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,548.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,238.72 | $2,511.89 | $2,511.89 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,238.72 Typical High $2,511.89 | Professional | None (both parts) | $1,513.56 | $2,238.72 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $3,019.95 | Facility | None | $741.31 | $1,202.26 | $3,019.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $3,311.31 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $3,311.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,230.27 Typical High $1,659.59 | Professional | None (both parts) | $912.01 | $1,230.27 | $1,659.59 |
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 $741.31 Median $741.31 Typical High $1,737.80 | Professional | 26 · Professional part | $741.31 | $741.31 | $1,737.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $2,754.23 Typical High $6,606.93 | Professional | 50 · Both sides | $2,754.23 | $2,754.23 | $6,606.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $933.25 Median $933.25 Typical High $2,187.76 | Professional | 51 · Multiple procedures | $933.25 | $933.25 | $2,187.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $371.54 Typical High $870.96 | Professional | 80 · Assistant surgeon | $371.54 | $371.54 | $870.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $257.04 Typical High $616.60 | Professional | 81 · Minimal assistant surgeon | $257.04 | $257.04 | $616.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $257.04 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $257.04 | $257.04 | $616.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $257.04 Typical High $616.60 | Professional | AS · PA/NP assist | $257.04 | $257.04 | $616.60 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $2,630.27 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $2,630.27 |
Where South Carolina sits
The same service costs 2.5 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· 22nd of 51
$1,514
MT $2,570DE $1,047
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.